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1730537853
KRYSTAL HUMPHREY
BENTON, AR
NPI
1730537853
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-05-31
Last Update Date
2016-06-07
Business Address
-- KRYSTAL HUMPHREY
410 RIVER ST
BENTON, AR 72015-4206
Phone number: 501-776-5779
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Mailing Address
-- KRYSTAL HUMPHREY
1600 ALDERSGATE RD SUITE 200
LITTLE ROCK, AR 72205-6676
Phone number: 501-661-0720
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