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MS. TRACY LYNN HARDY LPN

>> Licensed Practical Nurse >> Nursing Service Providers

Registrant NPI Number: 1053687905

Individual Registrant:
MS. TRACY LYNN HARDY LPN
Gender: F
Sole Proprietor

Location and contact information for practice:
206 LAKE ST  PARKIN, AR 72373 US
Tel: 870-755-2737  Fax: 870-755-2740

Contact information for business:
377 S COOPER ST  CHERRY VALLEY, AR 72324-8651 US
Tel: 870-755-2737  Fax: 870-755-2740

Registration Information:
NPI: 1053687905
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y164W00000XNursing Service Providers
Licensed Practical Nurse
ARL47982

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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