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1598114332
ANGELA IVY
JONESBORO, AR
NPI
1598114332
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AR A004747)
Enumeration Date
2016-06-11
Last Update Date
2016-06-11
Business Address
-- ANGELA IVY APRN
201 E OAK AVE
JONESBORO, AR 72401-4163
Phone number: 870-935-6729
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Mailing Address
-- ANGELA IVY APRN
201 E OAK AVE
JONESBORO, AR 72401-4163
Phone number: 870-935-6729
Copy
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