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1114747680
EMMA WASKOM
BENTON, AR
NPI
1114747680
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: AR PA-1320)
Enumeration Date
2024-10-10
Last Update Date
2024-10-10
Business Address
EMMA WASKOM PA
5 MEDICAL PARK DR STE 304
BENTON, AR 72015-3745
Phone number: 501-408-2429
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Mailing Address
EMMA WASKOM PA
22901 CHENAL VALLEY DR APT E101
LITTLE ROCK, AR 72223-5329
Phone number: 812-595-9219
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