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1316418114
TIMOTHY BENNETT
BENTON, AR
NPI
1316418114
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-12-06
Last Update Date
2018-12-06
Business Address
TIMOTHY BENNETT
1502 MARY KAY BLVD
BENTON, AR 72015-7201
Phone number: 501-315-3344
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Mailing Address
TIMOTHY BENNETT
PO BOX 1589
BENTON, AR 72018-1589
Phone number: 501-315-3344
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