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1306569991
JULIE LYDOLPH
NEWPORT, AR
NPI
1306569991
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AR 221590)
Enumeration Date
2022-09-20
Last Update Date
2022-09-20
Business Address
JULIE LYDOLPH MD
2200 MALCOLM AVE
NEWPORT, AR 72112-3668
Phone number: 870-512-2500
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Mailing Address
JULIE LYDOLPH MD
PO BOX 2197
BATESVILLE, AR 72503-2197
Phone number: 870-262-5545
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