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1700104627
KATHY DIANE RUDICK
JONESBORO, AR
NPI
1700104627
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AR A03377)
Enumeration Date
2010-05-17
Last Update Date
2010-05-17
Business Address
-- KATHY DIANE RUDICK
1901 WOODSPRINGS RD
JONESBORO, AR 72401-0936
Phone number: 870-268-6962
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Mailing Address
-- KATHY DIANE RUDICK
1901 WOODSPRINGS RD
JONESBORO, AR 72401-0936
Phone number: 870-268-6962
Copy
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