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1316414642
AMANDA STARK
MAUMELLE, AR
NPI
1316414642
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: AR A005801)
Enumeration Date
2018-10-24
Last Update Date
2018-10-24
Business Address
AMANDA STARK
123 AUDUBON DR STE 600
MAUMELLE, AR 72113-5506
Phone number: 501-803-9481
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Mailing Address
AMANDA STARK
3423 N MAGNOLIA ST
NORTH LITTLE ROCK, AR 72116-8705
Phone number: 985-640-4610
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