ALICIA ELLEDGE

SPRINGDALE, AR
NPI1689101990
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy222Z00000X 
(Licence: AR  OPP00269)
Additional Taxonomies224P00000X Prosthetist
(Licence: AR  OPP00269)
Enumeration Date2017-05-17
Last Update Date2022-07-21
Business Address
ALICIA ELLEDGE CPO, LPO
4710 S THOMPSON ST STE 101
SPRINGDALE, AR 72764-2609
Phone number: 479-750-4294
Mailing Address
ALICIA ELLEDGE CPO, LPO
4710 S THOMPSON ST STE 101
SPRINGDALE, AR 72764-2609
Phone number: 479-750-4294
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