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1861018350
LACEY DESHAY KENNON
FORT SMITH, AR
NPI
1861018350
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AR F06201581)
Enumeration Date
2020-06-19
Last Update Date
2020-06-19
Business Address
LACEY DESHAY KENNON APRN, FNP-C
7509 RED PINE DR
FORT SMITH, AR 72916-8809
Phone number: 479-414-9629
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Mailing Address
LACEY DESHAY KENNON APRN, FNP-C
7509 RED PINE DR
FORT SMITH, AR 72916-8809
Phone number: 479-414-9629
Copy
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