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1134895170
CHARLENA DIAN BAGWELL
PARAGOULD, AR
NPI
1134895170
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AR 213430)
Enumeration Date
2021-08-19
Last Update Date
2021-09-13
Business Address
Mrs. CHARLENA DIAN BAGWELL APRN
1110 W KINGSHIGHWAY
PARAGOULD, AR 72450-4164
Phone number: 870-205-2000
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Mailing Address
Mrs. CHARLENA DIAN BAGWELL APRN
1000 W KINGSHIGHWAY STE 14
PARAGOULD, AR 72450-4197
Phone number: 870-239-8591
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