Individual
JAN GORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
404 S BRADLEY ST, WARREN, AR 71671-3459
(870) 226-4100
Mailing address
404 S BRADLEY ST, WARREN, AR 71671-3459
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
C01169
AR
Other
Enumeration date
01/10/2007
Last updated
07/08/2007
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