SAM GATEWOOD

FORT SMITH, AR
NPI1821408220
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: AR  L053951)
Enumeration Date2014-05-07
Last Update Date2017-02-14
Business Address
-- SAM GATEWOOD LPN
3111 S 70TH ST
FORT SMITH, AR 72903-5017
Phone number: 479-452-6650
Mailing Address
-- SAM GATEWOOD LPN
PO BOX 11818
FORT SMITH, AR 72917-1818
Phone number: 479-452-6650
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