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1275562688
JERRE DOUGLAS
WYNNE, AR
NPI
1275562688
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: AR P01329)
Enumeration Date
2006-06-30
Last Update Date
2011-02-09
Business Address
-- JERRE DOUGLAS RNP
1901 KILLOUGH RD N
WYNNE, AR 72396
Phone number: 870-238-8707
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Mailing Address
-- JERRE DOUGLAS RNP
1901 KILLOUGH RD N
WYNNE, AR 72396
Phone number: 870-238-8707
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