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1134358690
KENNETH LEE FIELDS
JONESBORO, AR
NPI
1134358690
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2009-07-06
Last Update Date
2009-07-06
Business Address
-- KENNETH LEE FIELDS MHPP
1217 STONE ST
JONESBORO, AR 72401-4520
Phone number: 870-972-1268
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Mailing Address
-- KENNETH LEE FIELDS MHPP
1217 STONE ST
JONESBORO, AR 72401-4520
Phone number: 870-972-1268
Copy
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