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1972754612
DAMIEN DEFROE
BENTON, AR
NPI
1972754612
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2008-09-30
Last Update Date
2008-09-30
Business Address
-- DAMIEN DEFROE CMP
1502 MARY KAY BLVD
BENTON, AR 72015
Phone number: 501-315-3344
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Mailing Address
-- DAMIEN DEFROE CMP
PO BOX 1589
BENTON, AR 72018-1589
Phone number: 501-315-3344
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