Individual
YONG OUNPRASEUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
6801 ROGERS AVE, FORT SMITH, AR 72903-4067
(479) 274-3200
(479) 274-3289
Mailing address
6801 ROGERS AVE, P.O. BOX 3528, FORT SMITH, AR 72903-4067
(479) 274-3200
(479) 274-3289
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A004833
AR
Other
Enumeration date
07/26/2016
Last updated
07/26/2016
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