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1467847020
JUAN DIEGO VICTORIA
FAYETTEVILLE, AR
NPI
1467847020
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AR A005197)
Enumeration Date
2015-03-31
Last Update Date
2020-09-08
Business Address
Dr. JUAN DIEGO VICTORIA DNP
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703-1944
Phone number: 479-443-4301
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Mailing Address
Dr. JUAN DIEGO VICTORIA DNP
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703-1944
Phone number:
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