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1740821602
JAMES A BAKKEN
BENTONVILLE, AR
NPI
1740821602
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MO 2015015032)
Enumeration Date
2019-10-02
Last Update Date
2019-10-02
Business Address
JAMES A BAKKEN LPN
2508 SE 20TH ST
BENTONVILLE, AR 72712-4008
Phone number: 479-273-9088
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Mailing Address
JAMES A BAKKEN LPN
2400 S 48TH ST
SPRINGDALE, AR 72762-6683
Phone number: 479-750-2020
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