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1992110860
MICHELLE N DALLAS
FAYETTEVILLE, AR
NPI
1992110860
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AR A004147)
Enumeration Date
2014-06-30
Last Update Date
2024-06-25
Business Address
MICHELLE N DALLAS
2523 E HUNTSVILLE RD
FAYETTEVILLE, AR 72701-7329
Phone number: 479-442-2822
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Mailing Address
MICHELLE N DALLAS
PO BOX 1523
FAYETTEVILLE, AR 72702-1523
Phone number: 479-571-6038
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