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Individual

DONALD E WLEKLINSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
920 S CARL ST BLDG 2, SILOAM SPRINGS, AR 72761-4108
(479) 238-2552
(479) 373-6737
Mailing address
920 S CARL ST BLDG 2, SILOAM SPRINGS, AR 72761-4108
(479) 238-2552
(479) 373-6737

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
A003818
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
199300758
AR
Enumeration date
05/07/2013
Last updated
04/08/2020
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