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Individual

CASSANDRA LOU HUNTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1210 W MAIN ST, WALNUT RIDGE, AR 72476-1005
(870) 972-0063
(870) 886-3252
Mailing address
PO BOX 719, WALNUT RIDGE, AR 72476-0719
(870) 972-0063
(870) 886-3252

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E9406
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
216524001
AR
Enumeration date
04/22/2013
Last updated
12/09/2016
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