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1558389114
STEFANIE A ELLIS
VAN BUREN, AR
NPI
1558389114
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AR A01792)
Enumeration Date
2006-07-18
Last Update Date
2011-04-01
Business Address
-- STEFANIE A ELLIS APN
2800 FAYETTEVILLE RD
VAN BUREN, AR 72956-6523
Phone number: 479-314-4000
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Mailing Address
-- STEFANIE A ELLIS APN
5401 ELLSWORTH RD
FORT SMITH, AR 72903-3219
Phone number: 479-314-1101
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