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1316959216
CHARLES W TEVEBAUGH
FAYETTEVILLE, AR
NPI
1316959216
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: AR A01080)
Enumeration Date
2006-08-12
Last Update Date
2011-04-22
Business Address
Mr. CHARLES W TEVEBAUGH APN
12 E APPLEBY SUITE 101
FAYETTEVILLE, AR 72703
Phone number: 479-463-4444
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Mailing Address
Mr. CHARLES W TEVEBAUGH APN
12 E APPLEBY SUITE 101
FAYETTEVILLE, AR 72703
Phone number: 479-463-4444
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