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ALICE BARTUSHOCK

>> Licensed Practical Nurse >> Nursing Service Providers

Registrant NPI Number: 1194971630

Individual Registrant:
 ALICE  BARTUSHOCK 
Gender: F
Sole Proprietor

Location and contact information for practice:
412 N VINE  MAGNOLIA, AR 71753-2842 US
Tel: 870-234-7500  Fax: 870-234-8225

Contact information for business:
715 N COLLEGE AVE  EL DORADO, AR 71730-4403 US
Tel: 870-862-7921  Fax: 870-864-2490

Registration Information:
NPI: 1194971630
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y164W00000XNursing Service Providers
Licensed Practical Nurse
ARL28746

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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