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1790910255
CLOUD NINE ANESTHESIA PA
LITTLE ROCK, AR
NPI
1790910255
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Entity Type
Organization
Authorized Contact
TRACY LYNN DAVENPORT
Owner
501-442-1640
Organization Subpart ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: AR C02646)
Enumeration Date
2009-05-27
Last Update Date
2009-05-27
Business Address
CLOUD NINE ANESTHESIA PA
9101 KANIS RD STE 300
LITTLE ROCK, AR 72205-6453
Phone number: 501-771-4370
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Mailing Address
CLOUD NINE ANESTHESIA PA
191 PLANTATION DR
MAYFLOWER, AR 72106-8420
Phone number: 501-771-4370
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