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Individual

KELLI LOUISE PEPPAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
18 HWY 162 S, ALMA, AR 72921-3428
(479) 632-2248
(479) 632-2386
Mailing address
1064 CAROUSEL LANE, ALMA, AR 72921-3428

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
PT90416
AR

Other

Enumeration date
10/31/2006
Last updated
07/08/2007
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