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1780017285
SHAWN UNDERWOOD
RUSSELLVILLE, AR
NPI
1780017285
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2013-08-20
Last Update Date
2013-08-20
Business Address
-- SHAWN UNDERWOOD Recovery Assistant
1000 S HOUSTON AVE
RUSSELLVILLE, AR 72801-5816
Phone number: 501-315-3344
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Mailing Address
-- SHAWN UNDERWOOD Recovery Assistant
PO BOX 1589
BENTON, AR 72018-1589
Phone number: 501-315-3344
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