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Organization

THE PEDIATRIC PROMISE CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KALA DAWN PRICE M.S. CCC-SLP (INCORPORATOR)
(479) 806-4914
Entity
Organization

Contact information

Practice address
5653 HIGHWAY 282, RUDY, AR 72952-9008
(479) 806-4914
Mailing address
5653 HIGHWAY 282, RUDY, AR 72952-9008
(479) 806-4914

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary

Other

Enumeration date
06/08/2015
Last updated
06/08/2015
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