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Individual

CRYSTAL D GUEVARA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
1006 W MAIN ST, WALNUT RIDGE, AR 72476-1004
(870) 759-5055
(870) 277-0896
Mailing address
260 HIGHWAY 168 N, PARAGOULD, AR 72450-7202
(870) 565-7511

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
L38284
AR
235Z00000X
Speech-Language Pathologist
Primary
P9142
AR

Other

Enumeration date
02/12/2007
Last updated
06/06/2021
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