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Individual

MS. REBECCA CHARLENE COLLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
724 N SPRING ST, HARRISON, AR 72601-2913
(870) 741-8216
(870) 741-4784
Mailing address
PO BOX 2578, BATESVILLE, AR 72503-2578
(870) 793-8900
(870) 793-8959

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L45958
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
L45958
LPN LICENSE
AR
Enumeration date
06/15/2009
Last updated
06/15/2009
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