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1043705726
KELLY NICOLE MALCOM
HOT SPRINGS, AR
NPI
1043705726
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AR A005705)
Enumeration Date
2018-06-26
Last Update Date
2021-08-04
Business Address
KELLY NICOLE MALCOM APRN
3907 CENTRAL AVE STE J
HOT SPRINGS, AR 71913-7249
Phone number: 501-781-3122
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Mailing Address
KELLY NICOLE MALCOM APRN
PO BOX 57
OKOLONA, AR 71962-0057
Phone number: 870-210-0230
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