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1770014490
KUNA TIGA FOMBUTU EPSE OKONG
CONWAY, AR
NPI
1770014490
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Other Name
KUNA TIGA OKONG
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208M00000X Hospitalist
(Licence: AR E13400)
Enumeration Date
2017-03-23
Last Update Date
2020-09-16
Business Address
KUNA TIGA FOMBUTU EPSE OKONG MD
1700 ALTUS ST
CONWAY, AR 72032-4289
Phone number: 501-513-5909
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Mailing Address
KUNA TIGA FOMBUTU EPSE OKONG MD
PO BOX 9662
CONWAY, AR 72033-9662
Phone number: 501-852-1363
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