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Individual

CAITLIN ESTELLE ROCHELLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPAS

Contact information

Practice address
808 S 52ND ST, ROGERS, AR 72758-8602
(479) 936-9900
(479) 587-1366
Mailing address
3232 N NORTHHILLS BLVD, FAYETTEVILLE, AR 72703-4005
(479) 587-1700
(479) 587-1366

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PA08282
MEDICAL LICENSE
TX
01
PA607
ARKANSAS MEDICAL LICENSE
AR
Enumeration date
02/05/2013
Last updated
12/12/2017
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