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1386180883
WENDY SMALL
RUSSELLVILLE, AR
NPI
1386180883
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: AR L50277)
Enumeration Date
2017-01-09
Last Update Date
2017-01-09
Business Address
-- WENDY SMALL
1915 W MAIN ST
RUSSELLVILLE, AR 72801-2725
Phone number: 479-968-1198
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Mailing Address
-- WENDY SMALL
500 E 3RD ST
RUSSELLVILLE, AR 72801-5204
Phone number: 479-968-1198
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