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1235681073
MICAH ROBERTS
BENTONVILLE, AR
NPI
1235681073
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-10-27
Last Update Date
2016-11-01
Business Address
-- MICAH ROBERTS
2005 SE WALTON BOULEVARD
BENTONVILLE, AR 72712-0000
Phone number: 479-464-5925
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Mailing Address
-- MICAH ROBERTS
2005 SE WALTON BOULEVARD
BENTONVILLE, AR 72712
Phone number:
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