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1922058858
PEGGY A DEFOURE
EL DORADO, AR
NPI
1922058858
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: AR AO1686)
Enumeration Date
2006-05-11
Last Update Date
2012-09-14
Business Address
-- PEGGY A DEFOURE
600 SOUTH TIMBERLANE
EL DORADO, AR 71730
Phone number: 870-864-8120
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Mailing Address
-- PEGGY A DEFOURE
625 EAST 19TH STREET APT E7
EL DORADO, AR 71730
Phone number: 479-713-7115
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