AMY DEATHERAGE

PARAGOULD, AR
NPI1720489032
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AR  2014012328)
Enumeration Date2014-09-06
Last Update Date2018-09-13
Business Address
AMY DEATHERAGE
1 MEDICAL DR STE 100
PARAGOULD, AR 72450-4005
Phone number: 870-932-0399
Mailing Address
AMY DEATHERAGE
1 MEDICAL DR STE 100
PARAGOULD, AR 72450-4005
Phone number: 870-932-0399
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