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1578932695
LUCAS J HOGGARD
WALNUT RIDGE, AR
NPI
1578932695
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: AR A004534)
Enumeration Date
2015-09-18
Last Update Date
2018-08-28
Business Address
LUCAS J HOGGARD APRN
1045 W MAIN ST STE C
WALNUT RIDGE, AR 72476
Phone number: 870-930-9990
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Mailing Address
LUCAS J HOGGARD APRN
9146 HIGHWAY 63 N
BONO, AR 72416-8153
Phone number: 870-930-9990
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