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Dominique Maurice Gray-coats
Prosthetics Case Management in Little Rock, Arkansas
NPI 1912662206

Dominique Maurice Gray-coats is a Prosthetics Case Management based in North Little Rock, AR and is specialized in Prosthetics Case Management. Dominique Maurice Gray-coats practices in Little Rock, AR. The NPI Number for Dominique Maurice Gray-coats is 1912662206 and holds a License No. (Arkansas).

The current practice location address for Dominique Maurice Gray-coats is 2501 Broadway St, Little Rock, AR and can be reached out via phone at 501-612-4068. You can also correspond with Dominique Maurice Gray-coats through the mailing address at 6005 VALERIE DR, NORTH LITTLE ROCK, AR - 72118-3180 (mailing address contact number: 501-612-4068).

Location: 2501 Broadway St, Little Rock, AR, 72118-3180
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Provider Profile Details
NPI Number
1912662206
Provider Name
Dominique Maurice Gray-coats
Credential
Provider Entity Type
Individual
Gender
Male
Address
2501 Broadway St, Little Rock, AR, 72118-3180
Phone Number
501-612-4068
Fax Number
Provider Enumeration Date
11/02/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
87-3371255 01 AR NONE
institution
Provider Business Practice Location Address Details
Address
2501 Broadway St
City
State
Zip
72206-2149
Phone Number
501-612-4068
Fax Number
person
Provider Business Mailing Address Details
Address
6005 Valerie Dr
City
State
Zip
72118-3180
Phone Number
501-612-4068
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
Prosthetics Case Management
Taxonomy
License No.
()
Definition
Definition to come...
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