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1972088425
KENAN SHELL
JONESBORO, AR
NPI
1972088425
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-10-01
Last Update Date
2018-10-01
Business Address
KENAN SHELL
4009 CLAY DR
JONESBORO, AR 72404-8543
Phone number: 870-897-2479
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Mailing Address
KENAN SHELL
4009 CLAY DR
JONESBORO, AR 72404-8543
Phone number:
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