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1902227804
DOMINIC BREWER
LITTLE ROCK, AR
NPI
1902227804
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: AR 925380754)
Enumeration Date
2013-12-18
Last Update Date
2013-12-18
Business Address
-- DOMINIC BREWER
13120 QUAIL CREEK RD APT A
LITTLE ROCK, AR 72206-4924
Phone number: 870-245-7481
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Mailing Address
-- DOMINIC BREWER
13120 QUAIL CREEK RD APT A
LITTLE ROCK, AR 72206-4924
Phone number: 870-245-7481
Copy
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