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Individual

MRS. REBECCA BROSSARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, CNP

Contact information

Practice address
411 LENTZ RD, MORRILTON, AR 72110-3740
(501) 354-1170
Mailing address
19 CREEKWOOD CV, MORRILTON, AR 72110-8809
(501) 208-4631

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R093550
AR

Other

Enumeration date
11/06/2018
Last updated
11/06/2018
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