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1780052126
KODY EVANS
BENTON, AR
NPI
1780052126
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Former Name
KODY FREEMAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2015-09-02
Last Update Date
2016-04-06
Business Address
-- KODY EVANS Recovery Asst
6701 HIGHWAY 67 BLDG 4
BENTON, AR 72015-8909
Phone number: 501-315-3344
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Mailing Address
-- KODY EVANS Recovery Asst
PO BOX 1589
BENTON, AR 72018-1589
Phone number: 501-303-3115
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