KENYA SHANTRIAL BLACK

RUSSELLVILLE, AR
NPI1477680734
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2007-02-27
Last Update Date2007-07-08
Business Address
-- KENYA SHANTRIAL BLACK Case Manager Parapro
1404 EAST 16TH STREET
RUSSELLVILLE, AR 72802
Phone number: 479-967-5570
Mailing Address
-- KENYA SHANTRIAL BLACK Case Manager Parapro
110 SKYLINE DRIVE
RUSSELLVILLE, AR 72801
Phone number: 479-967-5570
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