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MRS. CARON LYNN CUNNINGHAM HULSEY CTR

>> Contractor >> Other Service Providers

Registrant NPI Number: 1942537121

Individual Registrant:
MRS. CARON LYNN CUNNINGHAM HULSEY CTR
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1618 EXCELSIOR RD  GREENWOOD, AR 72936-5106 US
Tel: 479-597-0022  Fax: 479-314-1708

Contact information for business:
1618 EXCELSIOR RD  GREENWOOD, AR 72936-5106 US
Tel: 479-597-0022  Fax: 479-314-1708

Registration Information:
NPI: 1942537121
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y171W00000XOther Service Providers
Contractor
AR2008137

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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