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Organization
ARKANSAS FOOT CARE CLINIC, INC
Active
Organization
ARKANSAS FOOT CARE CLINIC, INC
Active
Other names
Aquilar Foot Care Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER AQUILAR (ASSISTANT OFFICE MANAGER)
(479) 970-2832
Entity
Organization
Contact information
Practice address
2400 W MAIN ST, RUSSELLVILLE, AR 72801-2531
(479) 890-3668
(479) 890-9513
Mailing address
PO BOX 2089, RUSSELLVILLE, AR 72811-2089
(479) 890-3668
(479) 890-9513
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
AR141
AR
Other
Enumeration date
05/24/2005
Last updated
11/30/2011
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