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1558822791
KATHLEEN IDELLA-ROBICHAUD VASQUEZ
CONWAY, AR
NPI
1558822791
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: AR A006157)
Enumeration Date
2019-03-29
Last Update Date
2023-07-26
Business Address
KATHLEEN IDELLA-ROBICHAUD VASQUEZ APRN, AGPCNP-BC
2200 ADA AVE STE 201
CONWAY, AR 72034-4984
Phone number: 501-852-1360
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Mailing Address
KATHLEEN IDELLA-ROBICHAUD VASQUEZ APRN, AGPCNP-BC
PO BOX 9662
CONWAY, AR 72033-9662
Phone number: 501-852-1363
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