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1225786916
ADVANCED MEDICINE OF THE OZARKS, LTD
MOUNTAIN HOME, AR
NPI
1225786916
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Entity Type
Organization
Authorized Contact
TRACIE GILLILAND
Nurse Practitioner
870-232-0397
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2022-03-12
Last Update Date
2022-03-12
Business Address
ADVANCED MEDICINE OF THE OZARKS, LTD
104 DYER ST
MOUNTAIN HOME, AR 72653-3514
Phone number: 870-232-0397
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Mailing Address
ADVANCED MEDICINE OF THE OZARKS, LTD
PO BOX 2457
MOUNTAIN HOME, AR 72654-2457
Phone number: 870-232-0397
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