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1063048817
KENITA POORE
ROGERS, AR
NPI
1063048817
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Former Name
KENITA DAVIS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: AR 124002)
Enumeration Date
2020-03-12
Last Update Date
2023-10-13
Business Address
KENITA POORE NP
1001 S HORSEBARN RD
ROGERS, AR 72758-8184
Phone number: 479-273-7700
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Mailing Address
KENITA POORE NP
PO BOX 776084
CHICAGO, IL 60677-6084
Phone number: 314-543-6979
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