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1134765746
TINA LOUISE PATRICK
ROGERS, AR
NPI
1134765746
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: AR L039606)
Enumeration Date
2019-11-19
Last Update Date
2019-11-19
Business Address
Mrs. TINA LOUISE PATRICK LPN
3307 N DIXIELAND RD
ROGERS, AR 72756-6816
Phone number: 479-986-5150
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Mailing Address
Mrs. TINA LOUISE PATRICK LPN
PO BOX 130
ROGERS, AR 72757-0130
Phone number: 479-986-5150
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