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1912462821
THERESA R NIDA
BENTONVILLE, AR
NPI
1912462821
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-02-05
Last Update Date
2019-02-05
Business Address
THERESA R NIDA
2003 SE WALTON BLVD
BENTONVILLE, AR 72712-3725
Phone number: 479-725-6000
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Mailing Address
THERESA R NIDA
2400 S 48TH ST
SPRINGDALE, AR 72762-6683
Phone number: 479-750-2020
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