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1104557693
ROSE ARCHIE
TEXARKANA, AR
NPI
1104557693
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: AR L041100)
Enumeration Date
2022-06-23
Last Update Date
2022-06-23
Business Address
ROSE ARCHIE
2511 E 24TH ST APT 1
TEXARKANA, AR 71854-4058
Phone number: 903-293-1256
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Mailing Address
ROSE ARCHIE
2511 E 24TH ST APT 1
TEXARKANA, AR 71854-4058
Phone number: 903-293-1256
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