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Individual

MR. RALPH WHITLOCK JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
21 BRIDGEWAY RD, NORTH LITTLE ROCK, AR 72113-9514
(501) 771-1500
Mailing address
101 TIVOLI LN, MAUMELLE, AR 72113-7459
(501) 580-7827

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R45035
AR

Other

Enumeration date
12/29/2009
Last updated
12/29/2009
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