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VIRGIE KATHLEEN SUNDAHL RN

>> Registered Nurse >> Nursing Service Providers

Registrant NPI Number: 1245567197

Individual Registrant:
 VIRGIE KATHLEEN SUNDAHL RN
Gender: F
Not Sole Proprietor

Location and contact information for practice:
609 W 3RD ST  IMBODEN, AR 72434-9099 US
Tel: 870-869-1500  Fax: 870-869-1505

Contact information for business:
609 W 3RD ST  IMBODEN, AR 72434-9099 US
Tel: 870-869-1500  Fax: 870-869-1505

Registration Information:
NPI: 1245567197
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y163W00000XNursing Service Providers
Registered Nurse
ARR72458

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
169349795AR05




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