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1164639480
KENYGHATTA DAVIS
BLYTHEVILLE, AR
NPI
1164639480
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-05-17
Last Update Date
2007-07-08
Business Address
-- KENYGHATTA DAVIS mhpp
1510 BYRUM RD
BLYTHEVILLE, AR 72315-8033
Phone number: 870-532-2600
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Mailing Address
-- KENYGHATTA DAVIS mhpp
812 CLARK ST
BLYTHEVILLE, AR 72315-4508
Phone number: 870-763-2841
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