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1518290808
TEDDY E GONZALES
NORTH LITTLE ROCK, AR
NPI
1518290808
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2009-09-17
Last Update Date
2009-09-17
Business Address
TEDDY E GONZALES
901 PARKER ST
NORTH LITTLE ROCK, AR 72114-4546
Phone number: 501-374-3686
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Mailing Address
TEDDY E GONZALES
PO BOX 251970
LITTLE ROCK, AR 72225-1970
Phone number: 501-666-8686
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