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1457743171
TINA GAITHER
FAYETTEVILLE, AR
NPI
1457743171
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AR A004343)
Enumeration Date
2015-03-04
Last Update Date
2019-09-12
Business Address
TINA GAITHER APRN
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703-1944
Phone number: 615-355-3451
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Mailing Address
TINA GAITHER APRN
PO BOX 2429
SMYRNA, TN 37167-1719
Phone number: 615-355-3451
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