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1477968030
CASEY G POLK
LITTLE ROCK, AR
NPI
1477968030
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: AR C003045)
Enumeration Date
2014-06-23
Last Update Date
2014-06-23
Business Address
Mrs. CASEY G POLK
9601 INTERSTATE 630 EXIT 7
LITTLE ROCK, AR 72205-7202
Phone number: 501-202-2093
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Mailing Address
Mrs. CASEY G POLK
11001 EXECUTIVE CENTER DR
LITTLE ROCK, AR 72211-4316
Phone number: 501-202-2093
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