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1306101142
KASANDRA SHACKELFORD
BENTON, AR
NPI
1306101142
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2012-07-09
Last Update Date
2014-03-31
Business Address
-- KASANDRA SHACKELFORD Recovery Assistant
109 W SOUTH ST
BENTON, AR 72015-3776
Phone number: 501-776-1191
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Mailing Address
-- KASANDRA SHACKELFORD Recovery Assistant
109 W SOUTH ST
BENTON, AR 72015-3776
Phone number: 501-776-1191
Copy
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