ProviderBusinessMailingAddressFaxNumber = '8702863030'
NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1184168072
DIERKS HEALTHCARE & REHABILITATION CENTER LLC
402 S ARKANSAS AVE
DIERKS
AR
718339001
1447731401
PM OPS, INC.
402 S ARKANSAS AVE
DIERKS
AR
718339001
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