DOMINIQUE CERISE ERLY

FAYETTEVILLE, AR
NPI1497397921
Former NameDOMINIQUE CERISE LALIBERTE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WI  4835-23)
Enumeration Date2019-10-16
Last Update Date2021-12-28
Business Address
Mrs. DOMINIQUE CERISE ERLY PA-C
3276 N NORTHHILLS BLVD
FAYETTEVILLE, AR 72703-4005
Phone number: 479-404-2110
Mailing Address
Mrs. DOMINIQUE CERISE ERLY PA-C
3276 N NORTHHILLS BLVD
FAYETTEVILLE, AR 72703-4005
Phone number: 479-404-2110
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