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1598037350
KIM COLLIVER
HARRISON, AR
NPI
1598037350
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2012-02-08
Last Update Date
2012-02-08
Business Address
-- KIM COLLIVER MHPP
823 N MAIN ST
HARRISON, AR 72601-2914
Phone number: 870-741-2960
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Mailing Address
-- KIM COLLIVER MHPP
823 N MAIN ST
HARRISON, AR 72601-2914
Phone number: 870-741-2960
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