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1174570238
KELLEE MATLOCK
LITTLE ROCK, AR
NPI
1174570238
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: AR C01294)
Enumeration Date
2006-05-27
Last Update Date
2007-07-08
Business Address
-- KELLEE MATLOCK CRNA
10301 KANIS RD
LITTLE ROCK, AR 72205-6205
Phone number: 501-227-7797
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Mailing Address
-- KELLEE MATLOCK CRNA
1415 BRECKENRIDGE DR STE E
LITTLE ROCK, AR 72227-4819
Phone number: 501-227-7797
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