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1114484417
ALEX ELAINE MATLOCK
LITTLE ROCK, AR
NPI
1114484417
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: AR A006101)
Enumeration Date
2019-02-23
Last Update Date
2019-06-10
Business Address
MRS. ALEX ELAINE MATLOCK APRN
6 SHACKLEFORD DR
LITTLE ROCK, AR 72211-2858
Phone number: 501-500-5001
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Mailing Address
MRS. ALEX ELAINE MATLOCK APRN
6 SHACKLEFORD DR
LITTLE ROCK, AR 72211-2858
Phone number: 501-500-5001
Copy
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