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1205257862
KRYSTAL SPAIN
HOXIE, AR
NPI
1205257862
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2013-12-30
Last Update Date
2013-12-30
Business Address
-- KRYSTAL SPAIN
503 SE LINDSEY ST
HOXIE, AR 72433-2224
Phone number: 870-886-1333
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Mailing Address
-- KRYSTAL SPAIN
PO BOX 299
HOXIE, AR 72433-0299
Phone number:
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