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1245603273
KATELIN COOPER
FAYETTEVILLE, AR
NPI
1245603273
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AR A004572)
Enumeration Date
2015-11-13
Last Update Date
2016-12-13
Business Address
-- KATELIN COOPER
1771 E STEARNS ST
FAYETTEVILLE, AR 72703-5055
Phone number: 479-879-0774
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Mailing Address
-- KATELIN COOPER
1907 W ARROWHEAD ST
FAYETTEVILLE, AR 72701-6738
Phone number: 479-879-2858
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