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1356948095
SHAN EVANS
BENTONVILLE, AR
NPI
1356948095
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-10-06
Last Update Date
2020-10-06
Business Address
SHAN EVANS
2003 SE WALTON BLVD
BENTONVILLE, AR 72712-3725
Phone number: 479-725-6000
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Mailing Address
SHAN EVANS
2003 SE WALTON BLVD
BENTONVILLE, AR 72712-3725
Phone number: 479-725-6000
Copy
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