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Search › Arkansas › 246Y00000X

Stephanie Dunivan, BSIDS

NPI 1093157125 · on the registry since 2013 · sole proprietor

Practice

Address
1910 Rector Rd
Paragould, AR 72450
Phone
(870) 240-8500
Organisation at this address
Ascent Acquisitions Corp-Cypdc
Miracle Kids Success Academy Of Paragould
Miracle Kids Success Academy Of Paragould
Miracle Kids Success Academy Of Paragould
Miracle Kids Success Academy Of Paragould
Inferred from a shared address, not stated in the registry.
Clinicians at this address
81

Registry record

Primary taxonomy
246Y00000X
246Y00000X
Licence states on file
AR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-07-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas