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1588099253
KEVIN RAYMOND ROACH
PRESCOTT, AR
NPI
1588099253
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2013-09-12
Last Update Date
2013-09-12
Business Address
Mr. KEVIN RAYMOND ROACH
1658 US HIGHWAY 371
PRESCOTT, AR 71857-7064
Phone number: 870-887-3660
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Mailing Address
Mr. KEVIN RAYMOND ROACH
2904 ARKANSAS BLVD
TEXARKANA, AR 71854-2536
Phone number: 870-773-4655
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