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Individual

ANTOINETTE GEORGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6425 W 12TH ST, LITTLE ROCK, AR 72204-1509
(501) 666-7233
(501) 660-6834
Mailing address
PO BOX 251970, LITTLE ROCK, AR 72225-1970
(501) 666-8686
(501) 660-6838

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
05/18/2009
Last updated
05/18/2009
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