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1386983468
JOSEPH KENT TETIRICK
FORT SMITH, AR
NPI
1386983468
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: AR A003816)
Enumeration Date
2013-02-08
Last Update Date
2013-02-08
Business Address
-- JOSEPH KENT TETIRICK APN
5808 CALLAWAY LN
FORT SMITH, AR 72916-8437
Phone number: 423-426-3918
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Mailing Address
-- JOSEPH KENT TETIRICK APN
132 OAK GROVE RD
VAN BUREN, AR 72956-8410
Phone number: 501-772-0177
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