Individual
NICOLE FRUSHOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2800 ALUMNI BLVD, JONESBORO, AR 72401
(870) 680-8310
Mailing address
PO BOX 480, STATE UNIVERSITY, AR 72467-0480
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-2686
NC
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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