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1669989810
MALERI RICOLE CARPENTER
CORNING, AR
NPI
1669989810
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: AR L059538)
Enumeration Date
2018-01-09
Last Update Date
2018-01-09
Business Address
MALERI RICOLE CARPENTER
602 DAVID ST
CORNING, AR 72422-7268
Phone number: 870-857-3655
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Mailing Address
MALERI RICOLE CARPENTER
2707 BROWNS LN
JONESBORO, AR 72401-7213
Phone number: 870-972-4939
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