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1093193823
JENNIFER REBECCA TETIRICK
FORT SMITH, AR
NPI
1093193823
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: AR A004399)
Enumeration Date
2015-05-13
Last Update Date
2015-05-13
Business Address
-- JENNIFER REBECCA TETIRICK
1001 TOWSON AVE
FORT SMITH, AR 72901-4921
Phone number: 479-441-4000
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Mailing Address
-- JENNIFER REBECCA TETIRICK
3525 GOLF COURSE DR
ALMA, AR 72921-8609
Phone number: 479-856-4457
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