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Individual

JODY RAE EDMONDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
23171 HIGHWAY 303, HINDSVILLE, AR 72738-9226
(479) 790-6824
Mailing address
1100 N COLLEGE AVE, FAYETTEVILLE, AR 72703-1944
(479) 443-4301

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R103152
AR

Other

Enumeration date
04/15/2021
Last updated
04/15/2021
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