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1104241892
BRENNA RAINWATER
FORT SMITH, AR
NPI
1104241892
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: AR R084735)
Enumeration Date
2014-03-04
Last Update Date
2014-03-04
Business Address
BRENNA RAINWATER
6601 PHOENIX AVE SUITE B
FORT SMITH, AR 72903-5092
Phone number: 479-785-9091
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Mailing Address
BRENNA RAINWATER
6601 PHOENIX AVE SUITE B
FORT SMITH, AR 72903-5092
Phone number: 479-785-9091
Copy
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