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1144836909
KASILYNN ALESE SHADDY
SPRINGDALE, AR
NPI
1144836909
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: AR 125710)
Enumeration Date
2020-09-17
Last Update Date
2020-09-17
Business Address
KASILYNN ALESE SHADDY
3300 W SUNSET AVE
SPRINGDALE, AR 72762-4950
Phone number: 479-717-7089
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Mailing Address
KASILYNN ALESE SHADDY
3300 W SUNSET AVE
SPRINGDALE, AR 72762-4950
Phone number:
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