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1801125174
KIMBERLY ANGEL
CONWAY, AR
NPI
1801125174
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2009-12-16
Last Update Date
2014-11-07
Business Address
-- KIMBERLY ANGEL MHPP
1014 MAIN ST
CONWAY, AR 72032-5426
Phone number: 501-336-0511
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Mailing Address
-- KIMBERLY ANGEL MHPP
1014 MAIN ST
CONWAY, AR 72032-5426
Phone number: 501-336-0511
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