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1194971630
ALICE BARTUSHOCK
MAGNOLIA, AR
NPI
1194971630
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: AR L28746)
Enumeration Date
2008-08-15
Last Update Date
2008-08-15
Business Address
-- ALICE BARTUSHOCK
412 N VINE
MAGNOLIA, AR 71753-2842
Phone number: 870-234-7500
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Mailing Address
-- ALICE BARTUSHOCK
715 N COLLEGE AVE
EL DORADO, AR 71730-4403
Phone number: 870-862-7921
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