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Individual

MRS. ELIZABETH JEAN COATES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD LD

Contact information

Practice address
201 N CLIFTON ST, FORDYCE, AR 71742-3026
(870) 352-7949
(870) 352-0289
Mailing address
PO BOX 6, THORNTON, AR 71766-0006
(870) 352-7949
(870) 352-0289

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
466
AR

Other

Enumeration date
03/09/2011
Last updated
03/09/2011
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