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1730768243
CORDELL WESTON CRISP
LITTLE ROCK, AR
NPI
1730768243
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-04-03
Last Update Date
2021-04-03
Business Address
CORDELL WESTON CRISP MD
4301 W MARKHAM ST
LITTLE ROCK, AR 72205-7199
Phone number: 501-686-5162
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Mailing Address
CORDELL WESTON CRISP MD
1649 HIGHWAY 64 E
BALD KNOB, AR 72010-3938
Phone number: 501-283-0280
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