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1093370033
TARA J JACKSON-FARMER
FAYETTEVILLE, AR
NPI
1093370033
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NC 197170)
Enumeration Date
2019-05-06
Last Update Date
2019-05-06
Business Address
TARA J JACKSON-FARMER
3715 BUSINESS DRIVE SUITE 202
FAYETTEVILLE, AR 72703-5204
Phone number: 252-452-5038
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Mailing Address
TARA J JACKSON-FARMER
3715 BUSINESS DRIVE SUITE 202
FAYETTEVILLE, AR 72703-5204
Phone number: 252-452-5038
Copy
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