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Individual

MR. LEROY MAUPIN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
407 VIRGINIA DR, BATESVILLE, AR 72501-7329
(870) 793-4200
(870) 698-1353
Mailing address
407 VIRGINIA DR, BATESVILLE, AR 72501-7329
(870) 793-4200
(870) 698-1353

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
A005035
AR

Other

Enumeration date
02/17/2017
Last updated
02/17/2017
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