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105 Nathan St Marked Tree AR 72365-1447 | |
(870) 358-2036 | |
(870) 358-4116 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 105 Nathan St, Marked Tree, Arkansas |
Authorized Official Name and Position | Ramona Taylor (DIRECTOR OF DEVELOPMENT) |
Authorized Official Contact | 8707355527 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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105 Nathan St Marked Tree AR 72365-1447 Ph: (870) 358-2036 | 105 Nathan St Marked Tree AR 72365-1447 Ph: (870) 358-2036 |
NPI Number | 1780620534 |
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Provider Enumeration Date | 06/21/2006 |
Last Update Date | 04/02/2008 |
Identifier | Type | State | Issuer |
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1780620534 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |