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1730170168
SUSAN WINGO
DE QUEEN, AR
NPI
1730170168
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AR E3749)
Enumeration Date
2005-11-03
Last Update Date
2007-07-08
Business Address
-- SUSAN WINGO MD
1306 W COLLIN RAYE DR
DE QUEEN, AR 71832-2502
Phone number: 870-642-7572
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Mailing Address
-- SUSAN WINGO MD
1306 W COLLIN RAYE DR
DE QUEEN, AR 71832-2502
Phone number: 870-642-7572
Copy
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