DEBRA INEVIA FAIRLESS

MENA, AR
NPI1285805358
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: AR  A03080ANP)
Enumeration Date2008-03-17
Last Update Date2011-07-06
Business Address
MRS. DEBRA INEVIA FAIRLESS APN
1210 DEQUEEN ST
MENA, AR 71953-4132
Phone number: 479-394-5068
Mailing Address
MRS. DEBRA INEVIA FAIRLESS APN
P.O. BOX 1788
MENA, AR 71953-1781
Phone number: 479-394-5068
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