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1215216593
KORMYN SHAY SIMS
BENTON, AR
NPI
1215216593
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2011-08-04
Last Update Date
2011-08-04
Business Address
-- KORMYN SHAY SIMS
100 RIVENDELL DR
BENTON, AR 72019-9188
Phone number: 870-572-5005
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Mailing Address
-- KORMYN SHAY SIMS
100 RIVENDELL DRIVE
BENTON, AR 72019
Phone number: 870-572-5005
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