CHERRIE PHOUTHAVONG

FORT SMITH, AR
NPI1952768780
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: AR  A004626)
Enumeration Date2016-01-25
Last Update Date2016-01-25
Business Address
-- CHERRIE PHOUTHAVONG
7301 ROGERS AVE
FORT SMITH, AR 72903-4100
Phone number: 479-314-6992
Mailing Address
-- CHERRIE PHOUTHAVONG
7001 MILLENNIUM DR
FORT SMITH, AR 72916-8825
Phone number: 479-461-5590
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