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1790489656
VIVAS TATACHAR
SEARCY, AR
NPI
1790489656
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-03-27
Last Update Date
2023-03-27
Business Address
VIVAS TATACHAR DO
3214 E RACE AVE
SEARCY, AR 72143-4810
Phone number: 501-380-2298
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Mailing Address
VIVAS TATACHAR DO
3214 E RACE AVE
SEARCY, AR 72143-4810
Phone number:
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