SUSAN TATE

NORTH LITTLE ROCK, AR
NPI1053320259
Former NameSUSAN SHORT TATE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: AR  PA-168)
Enumeration Date2006-08-05
Last Update Date2007-07-08
Business Address
MS. SUSAN TATE PAC
3401 SPRINGHILL DR SUITE 460
NORTH LITTLE ROCK, AR 72117-2924
Phone number: 501-945-1888
Mailing Address
MS. SUSAN TATE PAC
109 NATALIE LN
JACKSONVILLE, AR 72076-9378
Phone number: 501-835-1069
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