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1750559142
JOHN DEREK CARPENTER
JONESBORO, AR
NPI
1750559142
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: AR LTP-001689)
Enumeration Date
2008-02-19
Last Update Date
2008-02-19
Business Address
JOHN DEREK CARPENTER LPN
2707 BROWNS LN
JONESBORO, AR 72401-7213
Phone number: 870-972-4939
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Mailing Address
JOHN DEREK CARPENTER LPN
2707 BROWNS LN
JONESBORO, AR 72401-7213
Phone number: 870-972-4939
Copy
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