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Individual

MS. LORRAINE IRENE DEVRIES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1316 INDUSTRIAL ACESS DRIVE, TRUMANN, AR 72472
(870) 483-6621
(872) 483-1522
Mailing address
1316 INDUSTRIAL PARK DR, TRUMANN, AR 72472-9702
(870) 483-6621
(872) 483-1522

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
311
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
131343732
AR
Enumeration date
10/02/2017
Last updated
10/02/2017
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