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1619755634
KARL DAVID SHADE
BENTONVILLE, AR
NPI
1619755634
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-09-20
Last Update Date
2023-09-20
Business Address
KARL DAVID SHADE
2508 SE 20TH ST
BENTONVILLE, AR 72712-4008
Phone number: 479-273-9088
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Mailing Address
KARL DAVID SHADE
2400 S 48TH ST
SPRINGDALE, AR 72762-6683
Phone number: 479-750-2020
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