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1255181830
LISA AMEND CORNFORTH
LITTLE ROCK, AR
NPI
1255181830
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-03-25
Last Update Date
2024-03-25
Business Address
Dr. LISA AMEND CORNFORTH MD
1 CHILDRENS WAY # 512-19A
LITTLE ROCK, AR 72202-3500
Phone number: 501-364-5115
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Mailing Address
Dr. LISA AMEND CORNFORTH MD
3005 LAKESIDE DR
OKLAHOMA CITY, OK 73120-2312
Phone number:
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