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1730446592
STACY LYNN BOGGS
FORT SMITH, AR
NPI
1730446592
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: AR R88879)
Enumeration Date
2012-04-18
Last Update Date
2012-04-18
Business Address
-- STACY LYNN BOGGS
6601 PHOENIX AVE SUITE B
FORT SMITH, AR 72903-5092
Phone number: 479-785-9091
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Mailing Address
-- STACY LYNN BOGGS
1 CHILDRENS WAY SLOT 512-39
LITTLE ROCK, AR 72202-3500
Phone number: 501-364-3620
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