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Individual

KACEY DIANE WOOD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
6263 HWY 49 S, PARAGOULD, AR 72450
(870) 240-0444
Mailing address
6263 HIGHWAY 49 S, PARAGOULD, AR 72450-6093

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R83944
AR

Other

Enumeration date
08/03/2009
Last updated
10/15/2015
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