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Individual

DANA AULGUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
87 SOUTH 'B' STREET, POTTSVILLE, AR 72858-8721
(479) 968-2133
(479) 968-7672
Mailing address
87 SOUTH 'B' STREET, POTTSVILLE, AR 72858-8721

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP736
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
142533721
AR
05
184311721
AR
Enumeration date
12/08/2010
Last updated
12/08/2010
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