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1851033500
CHRISTA MARGARET SUPER
FAYETTEVILLE, AR
NPI
1851033500
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-04-12
Last Update Date
2022-04-12
Business Address
CHRISTA MARGARET SUPER DO
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703-1908
Phone number: 479-713-8306
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Mailing Address
CHRISTA MARGARET SUPER DO
221 POLK ROAD 231
COVE, AR 71937-9658
Phone number: 479-234-6808
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