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1861488017
RICKY DEAN TATE
JONESBORO, AR
NPI
1861488017
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: AR E2224)
Enumeration Date
2005-09-23
Last Update Date
2008-04-28
Business Address
-- RICKY DEAN TATE MD
300 CARSON ST
JONESBORO, AR 72401-3104
Phone number: 870-932-1198
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Mailing Address
-- RICKY DEAN TATE MD
300 CARSON ST
JONESBORO, AR 72401-3104
Phone number: 870-932-1198
Copy
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