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1497206924
KHEM NOUANSAVANE
FORT SMITH, AR
NPI
1497206924
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: AR A004913)
Enumeration Date
2016-10-19
Last Update Date
2019-04-04
Business Address
KHEM NOUANSAVANE APRN
7001 ROGERS AVE STE 401A
FORT SMITH, AR 72903-4034
Phone number: 479-314-4650
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Mailing Address
KHEM NOUANSAVANE APRN
7001 ROGERS AVE STE 401A
FORT SMITH, AR 72903-4034
Phone number: 479-314-4650
Copy
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