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Organization

STEPPIN OUT SHOES & ACCESSORIES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. WARLEAR DESHON GARRETT (OWNER)
(901) 691-4805
Entity
Organization

Contact information

Practice address
1985 KROGER DR, SUITE A3, WEST MEMPHIS, AR 72301-1771
(870) 732-3364
(870) 732-3364
Mailing address
1985 KROGER DR, SUITE A3, WEST MEMPHIS, AR 72301-1771
(870) 732-3364
(870) 732-3364

Taxonomy

Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary

Other

Enumeration date
05/19/2009
Last updated
05/19/2009
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