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1225516826
CARRISA SUZETTE PATRICK
FORT SMITH, AR
NPI
1225516826
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AR A005820)
Enumeration Date
2018-08-06
Last Update Date
2024-08-02
Business Address
Mrs. CARRISA SUZETTE PATRICK APRN
6108 S 31ST ST
FORT SMITH, AR 72908-7555
Phone number: 479-242-9355
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Mailing Address
Mrs. CARRISA SUZETTE PATRICK APRN
9425 W HIGHWAY 248
WALDRON, AR 72958-8639
Phone number: 501-802-0072
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