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1770786204
JESSE WAYNE FORD
ROGERS, AR
NPI
1770786204
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LN0005X Nurse Practitioner, Neonatal, Critical Care
(Licence: AR A001899)
Enumeration Date
2007-06-11
Last Update Date
2018-09-12
Business Address
JESSE WAYNE FORD APRN
2710 S RIFE MEDICAL LN
ROGERS, AR 72758-1452
Phone number: 479-338-3331
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Mailing Address
JESSE WAYNE FORD APRN
2710 S RIFE MEDICAL LN
ROGERS, AR 72758-1452
Phone number: 479-338-3331
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