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ALLISON POLSTON

>> Day Training/Habilitation Specialist >> Nursing Service Related Providers

Registrant NPI Number: 1093110355

Individual Registrant:
 ALLISON  POLSTON 
Gender: F
Sole Proprietor

Location and contact information for practice:
500 RED OAK LN  HORSESHOE BEND, AR 72512-3707 US
Tel: 870-994-3103  Fax: --

Contact information for business:
500 RED OAK LN  HORSESHOE BEND, AR 72512-3707 US
Tel: --  Fax: --

Registration Information:
NPI: 1093110355
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y373H00000XNursing Service Related Providers
Day Training/Habilitation Specialist

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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