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1548520380
KIM STAATS
BENTON, AR
NPI
1548520380
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2012-05-28
Last Update Date
2020-09-01
Business Address
KIM STAATS
1502 MARY KAY BLVD
BENTON, AR 72015
Phone number: 501-315-3344
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Mailing Address
KIM STAATS
PO BOX 1589
BENTON, AR 72018-1589
Phone number: 501-315-3344
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