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1033386750
REBECCA C NIDEVER
JONESBORO, AR
NPI
1033386750
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: AR L33054)
Enumeration Date
2008-05-12
Last Update Date
2008-05-12
Business Address
-- REBECCA C NIDEVER LPN
2707 BROWNS LN
JONESBORO, AR 72401-7213
Phone number: 870-972-4939
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Mailing Address
-- REBECCA C NIDEVER LPN
2707 BROWNS LN
JONESBORO, AR 72401-7213
Phone number: 870-972-4939
Copy
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