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1558010561
SHI LUO
JONESBORO, AR
NPI
1558010561
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-03-18
Last Update Date
2022-03-18
Business Address
SHI LUO
300 CARSON ST
JONESBORO, AR 72401-3104
Phone number: 870-910-7799
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Mailing Address
SHI LUO
300 CARSON ST
JONESBORO, AR 72401-3104
Phone number: 870-910-7799
Copy
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