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Organization
INTEGRATED CARE PROFESSIONALS, LLC
Active
Organization
INTEGRATED CARE PROFESSIONALS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY FORTNER (MANAGER)
(479) 968-7930
Entity
Organization
Contact information
Practice address
200 RIVER MARKET AVE STE 300, LITTLE ROCK, AR 72201-1770
(479) 968-8279
Mailing address
PO BOX 9178, RUSSELLVILLE, AR 72811-9178
(855) 498-6767
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
—
—
Other
Enumeration date
02/20/2013
Last updated
06/13/2019
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