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Individual

SHARON PASCHAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PROVIDER

Contact information

Practice address
2511 EAST 24TH STREET APT 1, TEXARKANA, AR 71854
(870) 774-0758
Mailing address
2511 E 24TH ST APT 1, TEXARKANA, AR 71854-4058
(870) 774-0758

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
167719783
AR
172V00000X
Community Health Worker

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
167719783
AR
Enumeration date
06/18/2008
Last updated
06/18/2008
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