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Individual

AMANDA THATCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1801 GRANT AVE, JONESBORO, AR 72401-6155
(870) 974-9114
(870) 974-9184
Mailing address
1801 GRANT AVE, JONESBORO, AR 72401-6155
(870) 974-9114

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R71140
AR

Other

Enumeration date
11/29/2017
Last updated
11/29/2017
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