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1730881061
DECONTEE BERNIECE KAYE
PINE BLUFF, AR
NPI
1730881061
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-03-20
Last Update Date
2024-07-27
Business Address
DECONTEE BERNIECE KAYE MD
1600 W 40TH AVE
PINE BLUFF, AR 71603-6301
Phone number: 870-541-7100
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Mailing Address
DECONTEE BERNIECE KAYE MD
1601 W 40TH AVE
PINE BLUFF, AR 71603-6069
Phone number: 870-541-7100
Copy
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