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1245060367
LANE TUPA
LITTLE ROCK, AR
NPI
1245060367
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-08-05
Last Update Date
2024-08-05
Business Address
LANE TUPA
4301 W MARKHAM ST
LITTLE ROCK, AR 72205-7101
Phone number: 501-686-7000
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Mailing Address
LANE TUPA
12100 RAINWOOD RD APT 38
LITTLE ROCK, AR 72212-3936
Phone number: 870-678-3141
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