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1013320373
CANDICE BRIANNE BURNSIDE
JONESBORO, AR
NPI
1013320373
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AR A004095)
Enumeration Date
2014-06-04
Last Update Date
2015-05-07
Business Address
-- CANDICE BRIANNE BURNSIDE APRN
225 E JACKSON AVE
JONESBORO, AR 72401-3119
Phone number: 870-207-1630
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Mailing Address
-- CANDICE BRIANNE BURNSIDE APRN
225 E JACKSON AVE
JONESBORO, AR 72401-3119
Phone number: 870-207-1630
Copy
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