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1356632996
GWENDOLYN BROUGHTON
LITTLE ROCK, AR
NPI
1356632996
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: AR L14757)
Enumeration Date
2011-05-01
Last Update Date
2011-05-01
Business Address
Mrs. GWENDOLYN BROUGHTON
5800 W 10TH ST 101
LITTLE ROCK, AR 72204-1752
Phone number: 501-660-6886
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Mailing Address
Mrs. GWENDOLYN BROUGHTON
1867 S CROSS ST
LITTLE ROCK, AR 72206-1056
Phone number: 501-554-3157
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