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1821055146
RENE D. BADER
FAYETTEVILLE, AR
NPI
1821055146
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: AR PT 767)
Enumeration Date
2006-04-28
Last Update Date
2007-07-09
Business Address
Mrs. RENE D. BADER PT
1760 N WOODLAND AVE
FAYETTEVILLE, AR 72703-2549
Phone number: 479-443-4420
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Mailing Address
Mrs. RENE D. BADER PT
4107 CLARK AVE
SPRINGDALE, AR 72762-5865
Phone number: 479-751-6059
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