FALLON E WYATT

MARION, AR
NPI1093191819
Former NameFALLON E JOHNSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AR  A004461)
Enumeration Date2015-08-04
Last Update Date2020-09-17
Business Address
FALLON E WYATT
4001 COMMERCIAL CENTER DR STE 1
MARION, AR 72364-9616
Phone number: 901-496-0071
Mailing Address
FALLON E WYATT
4001 COMMERCIAL CENTER DR STE 1
MARION, AR 72364-9616
Phone number: 901-496-0071
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