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1255798559
KYLIE BASS
RUSSELLVILLE, AR
NPI
1255798559
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-01-19
Last Update Date
2016-01-19
Business Address
KYLIE BASS RECOVERY ASSISTANT
210 N SHAMROCK BLVD
RUSSELLVILLE, AR 72802-9658
Phone number: 479-747-7302
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Mailing Address
KYLIE BASS RECOVERY ASSISTANT
PO BOX 1589
BENTON, AR 72018-1589
Phone number: 501-315-3344
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