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1104979145
KENNETH EARL MAYO
LITTLE ROCK, AR
NPI
1104979145
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WE0003X Registered Nurse, Emergency
(Licence: AR R66175)
Enumeration Date
2007-01-21
Last Update Date
2007-07-08
Business Address
-- KENNETH EARL MAYO RN
1701 S SHACKLEFORD RD
LITTLE ROCK, AR 72211-4335
Phone number: 501-219-7800
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Mailing Address
-- KENNETH EARL MAYO RN
1220 CLARENCE DR
CONWAY, AR 72034-5591
Phone number: 501-513-9828
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