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KUNA TIGA FOMBUTU EPSE OKONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1700 ALTUS ST, CONWAY, AR 72032-4289
(501) 513-5909
(501) 513-5257
Mailing address
PO BOX 9662, CONWAY, AR 72033-9662
(501) 852-1363
(501) 852-1364

Taxonomy

Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
E13400
AR

Other

Enumeration date
03/23/2017
Last updated
09/16/2020
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