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1104464445
CHANNING HALL
CONWAY, AR
NPI
1104464445
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AR 122833)
Enumeration Date
2019-12-17
Last Update Date
2019-12-17
Business Address
CHANNING HALL APRN, PMHNP
2255 STURGIS RD
CONWAY, AR 72034-8029
Phone number: 501-858-3048
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Mailing Address
CHANNING HALL APRN, PMHNP
3855 LAZY CREEK TRL
CONWAY, AR 72032-9180
Phone number: 870-814-2689
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