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1104907849
CLARA LYNNE MARTIN
FAYETTEVILLE, AR
NPI
1104907849
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: AR P00592)
Enumeration Date
2006-10-18
Last Update Date
2007-07-08
Business Address
Miss CLARA LYNNE MARTIN RNP
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703-1944
Phone number: 479-443-4301
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Mailing Address
Miss CLARA LYNNE MARTIN RNP
803 SHIPLEY ST
SPRINGDALE, AR 72764-5422
Phone number: 479-751-0294
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