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1336417997
SUSAN LEA ZICKLER
HARRISON, AR
NPI
1336417997
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AR a03627)
Enumeration Date
2011-12-09
Last Update Date
2011-12-09
Business Address
-- SUSAN LEA ZICKLER apn
103 E CRANDALL AVE
HARRISON, AR 72601-3629
Phone number: 870-204-6126
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Mailing Address
-- SUSAN LEA ZICKLER apn
1204 SE 28TH ST SUITE 2
BENTONVILLE, AR 72712-3881
Phone number: 479-464-8834
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