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1982926754
KEVIN GASSAWAY
BARLING, AR
NPI
1982926754
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2010-02-22
Last Update Date
2010-02-22
Business Address
-- KEVIN GASSAWAY
1311 FORT STREET SUITE J
BARLING, AR 72923
Phone number: 479-452-5040
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Mailing Address
-- KEVIN GASSAWAY
PO BOX 23070
BARLING, AR 72923-0070
Phone number: 479-452-5040
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