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1174079875
NICOLE FRUSHOUR
JONESBORO, AR
NPI
1174079875
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NC LAT-2686)
Enumeration Date
2016-09-01
Last Update Date
2016-09-01
Business Address
-- NICOLE FRUSHOUR
2800 ALUMNI BLVD
JONESBORO, AR 72401
Phone number: 870-680-8310
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Mailing Address
-- NICOLE FRUSHOUR
PO BOX 480
STATE UNIVERSITY, AR 72467-0480
Phone number:
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