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1689078156
TU PHAN
BENTONVILLE, AR
NPI
1689078156
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: AR A004197)
Enumeration Date
2014-10-13
Last Update Date
2014-10-13
Business Address
-- TU PHAN APRN
3101 SE 14TH ST
BENTONVILLE, AR 72712-4900
Phone number: 479-986-6090
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Mailing Address
-- TU PHAN APRN
3101 SE 14TH ST
BENTONVILLE, AR 72712-4900
Phone number: 479-986-6090
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