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1033821004
SHAKENIA A TATE
CONWAY, AR
NPI
1033821004
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AR 222462)
Enumeration Date
2022-12-21
Last Update Date
2022-12-21
Business Address
Mrs. SHAKENIA A TATE APRN
150 E SIEBENMORGEN RD
CONWAY, AR 72032-4000
Phone number: 501-329-6851
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Mailing Address
Mrs. SHAKENIA A TATE APRN
2107 PLEASANT VALLEY DR
CONWAY, AR 72032-2544
Phone number: 501-269-0853
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