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1144907205
LAEKEN NICOLE WATERS
JONESBORO, AR
NPI
1144907205
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: AR PD16577)
Enumeration Date
2023-06-30
Last Update Date
2023-06-30
Business Address
LAEKEN NICOLE WATERS PharmD
1911 W PARKER RD
JONESBORO, AR 72404-8465
Phone number: 870-972-1060
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Mailing Address
LAEKEN NICOLE WATERS PharmD
7380 COUNTY ROAD 333
JONESBORO, AR 72401-0357
Phone number: 870-761-8335
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