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Individual

MIRENDA MARTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
507 N MAIN STREET, SALEM FAMILY CLINIC 507 N MAIN STREET, SALEM, AR 72576
(870) 895-2541
Mailing address
PO BOX 189, PO BOX 189, SALEM, AR 72576-0189
(870) 895-2541

Taxonomy

Speciality
Code
Description
License number
State
364SF0001X
Family Health Clinical Nurse Specialist
Primary
A004739
AR

Other

Enumeration date
07/19/2016
Last updated
07/19/2016
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