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1912930967
VARGHESE EDATTUKAREN
WALNUT RIDGE, AR
NPI
1912930967
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AR R4370)
Enumeration Date
2006-07-09
Last Update Date
2014-01-16
Business Address
Mr. VARGHESE EDATTUKAREN MD
201 COLONIAL DR
WALNUT RIDGE, AR 72476-1410
Phone number: 870-886-5507
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Mailing Address
Mr. VARGHESE EDATTUKAREN MD
PO BOX 83 1300 CREASON ROAD
CORNING, AR 72422-0083
Phone number: 870-857-3399
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