KIMBERLY BLAKE

BENTON, AR
NPI1265715858
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2011-09-21
Last Update Date2011-09-21
Business Address
-- KIMBERLY BLAKE Recovery Assistant
6701 HWY 67 S BLDG 4
BENTON, AR 72015
Phone number: 501-315-3344
Mailing Address
-- KIMBERLY BLAKE Recovery Assistant
PO BOX 1589
BENTON, AR 72018
Phone number: 501-315-3344
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