Full Name | |
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Speciality | Marriage & Family Therapist |
Location | 10227 Old 88 Rd, Rudy, Arkansas |
Authorized Official Name and Position | Nick Keeter (SOLE PROPRIETOR) |
Authorized Official Contact | 4794618738 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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10227 Old 88 Rd Rudy AR 72952-8525 Ph: (479) 474-3744 | 10227 Old 88 Rd Rudy AR 72952-8525 Ph: (479) 474-3744 |
NPI Number | 1265849996 |
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Provider Enumeration Date | 07/15/2014 |
Last Update Date | 07/15/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265849996 | NPI | - | NPPES |