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1003465618
COREY WAYNE DORMAN
BEEBE, AR
NPI
1003465618
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AR 121555)
Enumeration Date
2019-09-06
Last Update Date
2021-12-21
Business Address
COREY WAYNE DORMAN APRN
2069 W. CENTER ST.
BEEBE, AR 72012-6873
Phone number: 501-628-9212
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Mailing Address
COREY WAYNE DORMAN APRN
2069 W. CENTER ST.
BEEBE, AR 72012-6873
Phone number: 501-628-9212
Copy
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