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1801587779
WESTSIDE FAMILY CLINIC LLC
RUSSELLVILLE, AR
NPI
1801587779
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Entity Type
Organization
Authorized Contact
JEFFREY BOSOLD
CEO
479-747-2641
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2023-05-19
Last Update Date
2023-05-19
Business Address
WESTSIDE FAMILY CLINIC LLC
3812 W MAIN ST
RUSSELLVILLE, AR 72801-2314
Phone number: 479-968-1245
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Mailing Address
WESTSIDE FAMILY CLINIC LLC
3812 W MAIN ST
RUSSELLVILLE, AR 72801-2314
Phone number:
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