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Individual

DILLARD THOMAS HASLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
2606 PINE ST, ARKADELPHIA, AR 71923-4204
(870) 210-5243
Mailing address
2606 PINE ST, ARKADELPHIA, AR 71923-4204
(870) 210-5243

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A005955
AR

Other

Enumeration date
11/15/2018
Last updated
11/15/2018
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