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Individual

MR. BELFORD KIT NAZARENO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTRL

Contact information

Practice address
JRMC 1600 WEST 40TH AVE, PINE BLUFF, AR 71603
(870) 541-7790
Mailing address
1005 THELMA ST, BENTON, AR 72015-5043
(870) 329-7100

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR2035
AR

Other

Enumeration date
05/13/2008
Last updated
05/13/2008
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