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1992319800
ANNA NICOLE HIMSTEDT
RUSSELLVILLE, AR
NPI
1992319800
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: AR 201244)
Enumeration Date
2020-09-08
Last Update Date
2020-11-04
Business Address
ANNA NICOLE HIMSTEDT ST
301 N SIDNEY AVE
RUSSELLVILLE, AR 72801-4383
Phone number: 479-890-5494
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Mailing Address
ANNA NICOLE HIMSTEDT ST
301 N SIDNEY AVE
RUSSELLVILLE, AR 72801-4383
Phone number: 479-890-5494
Copy
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