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Individual

MARLO RAE HARGRAVE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2200 MALCOLM AVE, NEWPORT, AR 72112-3668
(870) 512-2500
(870) 512-2525
Mailing address
16 HOSPITAL CIR STE A, BATESVILLE, AR 72501-7343
(870) 262-5545

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R090426
AR
363LF0000X
Family Nurse Practitioner
Primary
A005695
AR

Other

Enumeration date
01/16/2018
Last updated
04/20/2021
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