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1962153452
SOUDARATH LIU
BENTONVILLE, AR
NPI
1962153452
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner Primary Care
(Licence: AR 217965)
Enumeration Date
2022-01-16
Last Update Date
2022-01-16
Business Address
SOUDARATH LIU APRN
1401 N WALTON BLVD
BENTONVILLE, AR 72712-4676
Phone number: 479-319-5355
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Mailing Address
SOUDARATH LIU APRN
5418 S FIREPLACE DR
ROGERS, AR 72758-4601
Phone number: 479-685-2237
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