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CHIQUITA LORRAINE SHACKELFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1 CHILDRENS WAY, SLOT 900, LITTLE ROCK, AR 72202-3500
(501) 364-7510
(501) 364-5194
Mailing address
1 CHILDRENS WAY, SLOT 900, LITTLE ROCK, AR 72202-3500
(501) 364-3620
(501) 364-3994

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R53158
AR

Other

Enumeration date
06/21/2010
Last updated
06/21/2010
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