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1225512635
STEFANIE RENEE BRACKIN
JONESBORO, AR
NPI
1225512635
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Former Name
STEFANIE LONG
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AR A005905)
Enumeration Date
2018-09-20
Last Update Date
2018-10-04
Business Address
STEFANIE RENEE BRACKIN APRN
4802 E JOHNSON AVE
JONESBORO, AR 72401-8413
Phone number: 870-936-8000
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Mailing Address
STEFANIE RENEE BRACKIN APRN
PO BOX 1960
JONESBORO, AR 72403-1960
Phone number: 870-936-8000
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