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1154777126
NICHOLE KELLEMS
CHEROKEE VILLAGE, AR
NPI
1154777126
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-05-10
Last Update Date
2016-05-12
Business Address
-- NICHOLE KELLEMS MHPP
4 EAST CHEROKEE VILLAGE MALL
CHEROKEE VILLAGE, AR 72529
Phone number: 870-257-3336
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Mailing Address
-- NICHOLE KELLEMS MHPP
PO BOX 176
CHEROKEE VILLAGE, AR 72525-0176
Phone number: 870-257-3336
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