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1457552721
CALVIN CLARK
BENTONVILLE, AR
NPI
1457552721
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-05-31
Last Update Date
2007-07-08
Business Address
-- CALVIN CLARK MHPP
2003 SE WALTON BLVD
BENTONVILLE, AR 72712-3725
Phone number: 479-464-8081
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Mailing Address
-- CALVIN CLARK MHPP
4253 N CROSSOVER RD
FAYETTEVILLE, AR 72703-4593
Phone number: 479-521-5731
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