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1952052243
SAMANTHA M WIDEMAN
HOT SPRINGS, AR
NPI
1952052243
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: AR 216236)
Enumeration Date
2022-01-18
Last Update Date
2022-12-29
Business Address
SAMANTHA M WIDEMAN APRN
133 HARMONY PARK CIR
HOT SPRINGS, AR 71913-5417
Phone number: 501-624-7700
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Mailing Address
SAMANTHA M WIDEMAN APRN
PO BOX 749495
ATLANTA, GA 30374-9495
Phone number: 239-432-8331
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