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1295780690
DONNA MATLOCK
ROGERS, AR
NPI
1295780690
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AR AO1582)
Enumeration Date
2006-05-23
Last Update Date
2019-04-11
Business Address
Ms. DONNA MATLOCK FNP
2012 S PROMENADE BLVD
ROGERS, AR 72758
Phone number: 479-616-1485
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Mailing Address
Ms. DONNA MATLOCK FNP
2012 S PROMENADE BLVD
ROGERS, AR 72758-9073
Phone number: 479-616-1485
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