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1255534897
KENNETH LEE ROUTON
FAYETTEVILLE, AR
NPI
1255534897
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-06-11
Last Update Date
2007-07-08
Business Address
KENNETH LEE ROUTON MHPP
4253 N CROSSOVER RD
FAYETTEVILLE, AR 72703-4593
Phone number: 479-443-7105
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Mailing Address
KENNETH LEE ROUTON MHPP
4253 N CROSSOVER RD
FAYETTEVILLE, AR 72703-4593
Phone number: 479-521-5731
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