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1952748527
KIMBERLY BETH TACKETT
WYNNE, AR
NPI
1952748527
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: AR R77061)
Enumeration Date
2013-05-22
Last Update Date
2013-05-22
Business Address
-- KIMBERLY BETH TACKETT R.N.
20 MORNINGSIDE DR
WYNNE, AR 72396-2528
Phone number: 870-208-6987
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Mailing Address
-- KIMBERLY BETH TACKETT R.N.
20 MORNINGSIDE DR
WYNNE, AR 72396-2528
Phone number: 870-208-6987
Copy
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