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Individual

HERSHEL LYNN MAYO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APN

Contact information

Practice address
715 W SHERMAN AVE, SUITE G, HARRISON, AR 72601-2743
(870) 741-8247
(870) 741-3933
Mailing address
PO BOX 1597, HARRISON, AR 72602-1597
(870) 741-8247
(870) 741-3933

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A01349
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
136698762
AR
Enumeration date
02/24/2006
Last updated
12/01/2009
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