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1215206693
PHYLLIS SUSAN MACKEY
FORT SMITH, AR
NPI
1215206693
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: AR R43640)
Enumeration Date
2011-12-14
Last Update Date
2011-12-14
Business Address
-- PHYLLIS SUSAN MACKEY RN
1340 S WALDRON RD
FORT SMITH, AR 72903-2556
Phone number: 479-452-5040
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Mailing Address
-- PHYLLIS SUSAN MACKEY RN
PO BOX 23070
BARLING, AR 72923-0070
Phone number: 479-452-5040
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