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1922252337
HERMAN GATES PRIVETT
LITTLE ROCK, AR
NPI
1922252337
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2008-11-12
Last Update Date
2008-11-12
Business Address
-- HERMAN GATES PRIVETT
6601 W 12TH ST
LITTLE ROCK, AR 72204-1513
Phone number: 501-666-8686
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Mailing Address
-- HERMAN GATES PRIVETT
P.O. BOX 251970
LITTLE ROCK, AR 72225
Phone number: 501-666-8686
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