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1871066050
SHANE WALDEN
LITTLE ROCK, AR
NPI
1871066050
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: AR R093063)
Enumeration Date
2019-01-09
Last Update Date
2019-01-09
Business Address
SHANE WALDEN
4300 W 7TH ST
LITTLE ROCK, AR 72205-5446
Phone number: 501-257-0000
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Mailing Address
SHANE WALDEN
8118 W MARKHAM ST APT 301
LITTLE ROCK, AR 72205-2515
Phone number: 501-918-8506
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