ETHAN HAWKINS

RUSSELLVILLE, AR
NPI1790110575
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2013-09-11
Last Update Date2014-05-08
Business Address
-- ETHAN HAWKINS recovery Assistant
210 N SHAMROCK BLVD
RUSSELLVILLE, AR 72802-9658
Phone number: 501-315-3344
Mailing Address
-- ETHAN HAWKINS recovery Assistant
PO BOX 1589
BENTON, AR 72018-1589
Phone number: 501-315-3344
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