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1770306276
ATESIA GORDON
WEST MEMPHIS, AR
NPI
1770306276
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-11-04
Last Update Date
2024-11-04
Business Address
ATESIA GORDON
205 INGRAM BLVD
WEST MEMPHIS, AR 72301-3423
Phone number: 870-739-6818
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Mailing Address
ATESIA GORDON
PO BOX 2192
FORREST CITY, AR 72336-2192
Phone number: 870-739-6818
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