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1205348273
AMY WALTHALL
EL DORADO, AR
NPI
1205348273
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: AR L038369)
Enumeration Date
2017-10-31
Last Update Date
2017-10-31
Business Address
AMY WALTHALL
715 N COLLEGE AVE
EL DORADO, AR 71730-4403
Phone number: 870-863-7921
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Mailing Address
AMY WALTHALL
715 N COLLEGE AVE
EL DORADO, AR 71730-4403
Phone number:
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