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Individual

MANDY KOEKEMOER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4713 WINGED FOOT LN, JONESBORO, AR 72405-8050
(870) 243-0418
Mailing address
4713 WINGED FOOT LN, JONESBORO, AR 72405-8050
(870) 243-0418

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R69806
AR
363LF0000X
Family Nurse Practitioner
Primary
222001
AR

Other

Enumeration date
05/01/2019
Last updated
11/06/2022
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