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1144630484
WILIAM BRADFORD OTWELL
HARRISON, AR
NPI
1144630484
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2014-05-07
Last Update Date
2014-05-07
Business Address
-- WILIAM BRADFORD OTWELL
110 WATTS ST
HARRISON, AR 72601-6540
Phone number: 314-753-7271
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Mailing Address
-- WILIAM BRADFORD OTWELL
110 WATTS ST
HARRISON, AR 72601-6540
Phone number: 314-753-7271
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