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1174184394
AMANDA BATES
MONTICELLO, AR
NPI
1174184394
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: AR L050698)
Enumeration Date
2019-06-27
Last Update Date
2019-06-27
Business Address
AMANDA BATES
936 JORDAN DR
MONTICELLO, AR 71655-5728
Phone number: 870-460-0066
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Mailing Address
AMANDA BATES
PO BOX 251970
LITTLE ROCK, AR 72225-1970
Phone number:
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