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Individual

MRS. SEOCK SONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1507 N PECAN, NEWPORT, AR 72112
(870) 523-3643
(870) 523-8224
Mailing address
PO BOX 497, 623 N 9TH STREET, AUGUSTA, AR 72006
(870) 347-3300
(870) 347-3492

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
R4453
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
123971001
AR
Enumeration date
05/01/2006
Last updated
07/07/2009
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