LEOTIS GIST

NEWPORT, AR
NPI1346671609
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2013-12-11
Last Update Date2013-12-11
Business Address
LEOTIS GIST RECOVERY ASSISTANT
210 THIRD ST
NEWPORT, AR 72112-3302
Phone number: 870-524-9496
Mailing Address
LEOTIS GIST RECOVERY ASSISTANT
PO BOX 1589
BENTON, AR 72018-1589
Phone number: 501-315-3344
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