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1114524147
INDEPENDENCE ANESTHESIA LLC
JONESBORO, AR
NPI
1114524147
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Entity Type
Organization
Authorized Contact
STEVEN STALKER
Owner
870-613-8390
Organization Subpart ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
Enumeration Date
2020-10-02
Last Update Date
2022-03-07
Business Address
INDEPENDENCE ANESTHESIA LLC
1710 MAYFIELD DR
JONESBORO, AR 72401-4563
Phone number: 870-613-8390
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Mailing Address
INDEPENDENCE ANESTHESIA LLC
PO BOX 3283
BATESVILLE, AR 72503-3283
Phone number: 870-613-8390
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