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1063803567
DAVON LACKIE
SEARCY, AR
NPI
1063803567
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: AR A004220)
Enumeration Date
2015-02-05
Last Update Date
2021-10-06
Business Address
DAVON LACKIE
103 WOODLANE DR
SEARCY, AR 72143-6113
Phone number: 501-268-3733
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Mailing Address
DAVON LACKIE
103 WOODLANE DR
SEARCY, AR 72143-6113
Phone number:
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