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1619128360
STACIE RENEE SMITH
LITTLE ROCK, AR
NPI
1619128360
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: AR PA-359)
Enumeration Date
2008-09-30
Last Update Date
2022-04-05
Business Address
STACIE RENEE SMITH PA
108 N SHACKLEFORD RD
LITTLE ROCK, AR 72211-2840
Phone number: 501-712-2571
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Mailing Address
STACIE RENEE SMITH PA
108 N SHACKLEFORD RD
LITTLE ROCK, AR 72211-2840
Phone number: 501-712-2571
Copy
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