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1821245069
AGALIA RENEA BAKER
RUSSELLVILLE, AR
NPI
1821245069
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AR A03093 ANP)
Enumeration Date
2008-08-19
Last Update Date
2008-08-19
Business Address
-- AGALIA RENEA BAKER APN
350 WALLEYE DR
RUSSELLVILLE, AR 72802-7282
Phone number: 479-498-2670
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Mailing Address
-- AGALIA RENEA BAKER APN
350 WALLEYE DR
RUSSELLVILLE, AR 72802-7282
Phone number: 479-498-2670
Copy
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