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1861138901
KIMBERLY RACHELLE POWELL
FAYETTEVILLE, AR
NPI
1861138901
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AR 219621)
Enumeration Date
2022-05-11
Last Update Date
2022-06-14
Business Address
KIMBERLY RACHELLE POWELL
3344 N FUTRALL DR
FAYETTEVILLE, AR 72703-4057
Phone number: 479-521-8200
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Mailing Address
KIMBERLY RACHELLE POWELL
PO BOX 1523
FAYETTEVILLE, AR 72702-1523
Phone number: 479-571-6038
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