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1013047356
WALDRON PLACE PEDIATRIC CLINIC, INC
FORT SMITH, AR
NPI
1013047356
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Entity Type
Organization
Authorized Contact
FEDERICO CARLOS DE MIRANDA
Owner
479-452-8311
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
(Licence: AR c-5393)
Enumeration Date
2007-03-06
Last Update Date
2020-08-22
Business Address
WALDRON PLACE PEDIATRIC CLINIC, INC
1501 S WALDRON RD STE 202
FORT SMITH, AR 72903-2598
Phone number: 479-452-8311
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Mailing Address
WALDRON PLACE PEDIATRIC CLINIC, INC
1501 S WALDRON RD STE 202
FORT SMITH, AR 72903-2598
Phone number: 479-452-8311
Copy
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