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1891308839
NATHANIEL C BLANTON
MOUNTAIN HOME, AR
NPI
1891308839
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: AR 212607)
Enumeration Date
2020-08-28
Last Update Date
2020-08-28
Business Address
NATHANIEL C BLANTON APRN
901 BURNETT DR
MOUNTAIN HOME, AR 72653-2908
Phone number: 870-425-9120
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Mailing Address
NATHANIEL C BLANTON APRN
901 BURNETT DR
MOUNTAIN HOME, AR 72653-2908
Phone number: 870-425-9120
Copy
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