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1043074396
KATIE WALLER
FORT SMITH, AR
NPI
1043074396
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AR 227616)
Enumeration Date
2024-02-07
Last Update Date
2024-02-07
Business Address
KATIE WALLER
3111 S 70TH ST
FORT SMITH, AR 72903-5017
Phone number: 903-749-1755
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Mailing Address
KATIE WALLER
1014 RED OAK ST
ELKINS, AR 72727-7201
Phone number: 903-749-1755
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