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1104459114
STEPHANIE L BOHANNON
FAYETTEVILLE, AR
NPI
1104459114
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Former Name
STEPHANIE L PARKER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AR 124030)
Enumeration Date
2020-02-18
Last Update Date
2022-09-21
Business Address
STEPHANIE L BOHANNON PMHNP, APRN
2566 E JOYCE BLVD STE 2
FAYETTEVILLE, AR 72703-3923
Phone number: 479-935-1000
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Mailing Address
STEPHANIE L BOHANNON PMHNP, APRN
2566 E JOYCE BLVD STE 2
FAYETTEVILLE, AR 72703-3923
Phone number: 479-935-1000
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