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1770641839
KELLEY JEAN KOOP
SPRINGDALE, AR
NPI
1770641839
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2006-12-04
Last Update Date
2007-07-08
Business Address
-- KELLEY JEAN KOOP MHPP
4912 SPRINGHOUSE DR
SPRINGDALE, AR 72762-7261
Phone number: 479-750-2020
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Mailing Address
-- KELLEY JEAN KOOP MHPP
PO BOX 6430
SPRINGDALE, AR 72766-6430
Phone number: 479-750-2020
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