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1215234836
STACI DIANN CLOUSE
SEARCY, AR
NPI
1215234836
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: AR P-T1107)
Enumeration Date
2011-02-16
Last Update Date
2011-02-16
Business Address
Mrs. STACI DIANN CLOUSE PA-C
705 SANTA FE DR
SEARCY, AR 72143-6964
Phone number: 501-268-3853
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Mailing Address
Mrs. STACI DIANN CLOUSE PA-C
155 KEITH RD
SEARCY, AR 72143-9219
Phone number:
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