NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1043612625
UNIVERSITY OF ARKANSAS AT PINE BLUFF
5050 SPRING VALLEY RD
DALLAS
TX
752443995
1619328366
LONG
ROBERT
STEVEN
6401 S HAZEL ST APT 110
PINE BLUFF
AR
716037842
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