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1073927521
ANDRE GRANT
LITTLE ROCK, AR
NPI
1073927521
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2014-06-12
Last Update Date
2014-06-12
Business Address
-- ANDRE GRANT
7101 W 12TH ST STE 201
LITTLE ROCK, AR 72204-2404
Phone number: 501-663-1837
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Mailing Address
-- ANDRE GRANT
1301 CUMBERLAND ST
LITTLE ROCK, AR 72202-5062
Phone number: 843-826-1894
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