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1871943936
KAYLA RUSSELL
RUSSELLVILLE, AR
NPI
1871943936
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-06-20
Last Update Date
2016-06-20
Business Address
-- KAYLA RUSSELL Recovery Assistant
210 N SHAMROCK BLVD
RUSSELLVILLE, AR 72802-9658
Phone number: 501-315-3344
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Mailing Address
-- KAYLA RUSSELL Recovery Assistant
PO BOX 1589
BENTON, AR 72018-1589
Phone number: 501-315-3344
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