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1669756375
KELLY ANN LANE
SPRINGDALE, AR
NPI
1669756375
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: AR L38300)
Enumeration Date
2011-09-30
Last Update Date
2011-09-30
Business Address
-- KELLY ANN LANE LPN
2400 S 48TH ST
SPRINGDALE, AR 72762-6683
Phone number: 479-750-2020
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Mailing Address
-- KELLY ANN LANE LPN
2400 S 48TH ST
SPRINGDALE, AR 72762-6683
Phone number: 479-750-2020
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