ELLEN GANN

ASH FLAT, AR
NPI1033376173
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: AR  L43907)
Enumeration Date2008-05-16
Last Update Date2008-05-16
Business Address
-- ELLEN GANN LPN
75 HWY 62-412
ASH FLAT, AR 72513
Phone number: 870-933-6886
Mailing Address
-- ELLEN GANN LPN
4508 STADIUM BLVD
JONESBORO, AR 72404-9675
Phone number: 870-933-6886
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