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Individual

MISS AMY CAROL GEATER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
10280 HORSESHOE LOOP, DARDANELLE, AR 72834-7746
(479) 453-9090
Mailing address
314 S 1ST ST, OLA, AR 72853-9266
(479) 747-0311

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
06/08/2011
Last updated
06/08/2011
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