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Individual

DOMINIC BREWER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
13120 QUAIL CREEK RD APT A, LITTLE ROCK, AR 72206-4924
(870) 245-7481
Mailing address
13120 QUAIL CREEK RD APT A, LITTLE ROCK, AR 72206-4924
(870) 245-7481

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
925380754
AR

Other

Enumeration date
12/18/2013
Last updated
12/18/2013
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