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Individual

MRS. TARAH PAMPLIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
202 E FRANKLIN ST, HAMBURG, AR 71646-3541
(501) 538-3614
Mailing address
202 E FRANKLIN ST, HAMBURG, AR 71646-3541

Taxonomy

Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
14108
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
202026783
AR
Enumeration date
05/22/2014
Last updated
05/22/2014
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