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Individual

AUDRA M HAMILTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
623 N 9TH STREET, AUGUSTA, AR 72006
(870) 347-3372
(870) 347-3492
Mailing address
PO BOX 497, 623 N 9TH STREET, AUGUSTA, AR 72006
(870) 347-3372
(870) 347-3492

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
1582
AR

Other

Enumeration date
08/11/2006
Last updated
07/08/2007
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