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MANDI LYN MEARS

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1710220959

Individual Registrant:
 MANDI LYN MEARS 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1122 MAIN ST  VILONIA, AR 72173-9524 US
Tel: 501-796-2791  Fax: --

Contact information for business:
1122 MAIN ST  VILONIA, AR 72173-9524 US
Tel: 501-796-2791  Fax: --

Registration Information:
NPI: 1710220959
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
ARA003854

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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