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1346671609
LEOTIS GIST
NEWPORT, AR
NPI
1346671609
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2013-12-11
Last Update Date
2013-12-11
Business Address
-- LEOTIS GIST Recovery Assistant
210 THIRD ST
NEWPORT, AR 72112-3302
Phone number: 870-524-9496
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Mailing Address
-- LEOTIS GIST Recovery Assistant
PO BOX 1589
BENTON, AR 72018-1589
Phone number: 501-315-3344
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