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Individual

MISS LAUREN GAYLE SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
837 WILLETT ROAD, JONESBORO, AR 72401-7240
(870) 393-5335
(870) 497-0007
Mailing address
2707 BROWNS LN, JONESBORO, AR 72401-7213
(870) 972-4939
(870) 972-4911

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
121295
AR

Other

Enumeration date
10/25/2019
Last updated
10/25/2019
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