NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1326220856 | FAIRRIS | KELLI | JEAN |   | 1658 US HIGHWAY 371 | PRESCOTT | AR | 718577064 |
1073762092 | GREEN | AARON | W |   | 1658 US HIGHWAY 371 | PRESCOTT | AR | 718577064 |
1699040071 | LINK | AMANDA | SUE |   | 1658 US HIGHWAY 371 | PRESCOTT | AR | 718577064 |
1366495806 | TYE | KIMBERLY | JANET |   | 1658 US HIGHWAY 371 | PRESCOTT | AR | 718577064 |