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1154672467
BRANDY ANN TIDWELL
PRESCOTT, AR
NPI
1154672467
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: AR L40788)
Enumeration Date
2012-09-26
Last Update Date
2012-09-26
Business Address
MS. BRANDY ANN TIDWELL LPN
1658 US HIGHWAY 371
PRESCOTT, AR 71857-7064
Phone number: 870-887-3660
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Mailing Address
MS. BRANDY ANN TIDWELL LPN
2904 ARKANSAS BLVD
TEXARKANA, AR 71854-2536
Phone number: 870-773-4655
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