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1952768780
CHERRIE PHOUTHAVONG
FORT SMITH, AR
NPI
1952768780
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: AR A004626)
Enumeration Date
2016-01-25
Last Update Date
2016-01-25
Business Address
-- CHERRIE PHOUTHAVONG
7301 ROGERS AVE
FORT SMITH, AR 72903-4100
Phone number: 479-314-6992
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Mailing Address
-- CHERRIE PHOUTHAVONG
7001 MILLENNIUM DR
FORT SMITH, AR 72916-8825
Phone number: 479-461-5590
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