LILLY IDA ROBERTS

MOUNTAIN VIEW, AR
NPI1922003169
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: AR  A01186 ANP)
Enumeration Date2005-06-15
Last Update Date2020-03-11
Business Address
LILLY IDA ROBERTS APN
322 DOGWOOD HOLLOW RD
MOUNTAIN VIEW, AR 72560-8626
Phone number: 870-269-2995
Mailing Address
LILLY IDA ROBERTS APN
PO BOX 1060
MARSHALL, AR 72650-1060
Phone number: 870-448-5733
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