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1285112755
SHANNON WYATT
LITTLE ROCK, AR
NPI
1285112755
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AR A005673)
Enumeration Date
2018-08-06
Last Update Date
2018-08-06
Business Address
SHANNON WYATT APRN
10700 N RODNEY PARHAM RD STE C11
LITTLE ROCK, AR 72212-4110
Phone number: 501-414-0438
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Mailing Address
SHANNON WYATT APRN
3408 RUSHWOOD CV
BENTON, AR 72019-9373
Phone number:
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