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Organization

ASHLAR PROFESSIONAL

Active
Parent organization
ASHLAR PROFESSIONAL GROUP
Organization subpart
Yes

Provider details

NPI number
Legal business name
ASHLAR PROFESSIONAL GROUP
Authorized official
CYNTHIA M LINVILLE (COO/DIRECTOR OF OPERATIONS)
(573) 785-8766
Entity
Organization

Contact information

Practice address
1908 GREENWOOD DR STE B, POPLAR BLUFF, MO 63901-2430
(573) 785-8766
(573) 785-8769
Mailing address
816 UNIVERSITY PARKWAY, NATCHITOCHES, LA 71457
(318) 352-8075
(318) 357-1535

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
12/11/2007
Last updated
04/08/2011
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