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Individual

OLIVIA M FISHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
7721 DOLLARWAY RD STE 1, WHITE HALL, AR 71602-3040
(870) 247-1008
Mailing address
11209 HICKORY HILL RD, LITTLE ROCK, AR 72211-4367
(870) 247-1008

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
16100
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
06100
LICENSE NUMBER
AR
01
11209
ADDRESS
AR
Enumeration date
01/25/2016
Last updated
05/16/2022
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