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1386291656
DOMINIQUE ANN ERTOLACCI
SPRINGDALE, AR
NPI
1386291656
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: AR 121999)
Enumeration Date
2019-08-21
Last Update Date
2019-09-17
Business Address
DOMINIQUE ANN ERTOLACCI NP
609 W MAPLE AVE
SPRINGDALE, AR 72764-5335
Phone number: 479-553-1000
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Mailing Address
DOMINIQUE ANN ERTOLACCI NP
609 W MAPLE AVE
SPRINGDALE, AR 72764-5335
Phone number: 360-560-8999
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