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1275183782
LANCE C. SHULTZ
BENTONVILLE, AR
NPI
1275183782
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: AR 121804)
Enumeration Date
2019-09-17
Last Update Date
2019-09-17
Business Address
LANCE C. SHULTZ NP
609 SW 8TH ST FL 6
BENTONVILLE, AR 72712-7886
Phone number: 337-991-9276
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Mailing Address
LANCE C. SHULTZ NP
1509 DULLES DR
LAFAYETTE, LA 70506-3718
Phone number: 337-991-9276
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