NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1720020647
SHINA
MARK
A
 
415 HOSPITAL DR STE 3
CAMDEN
AR
717014651
1851459697
TSHIBAKA
CIMENGA
M
 
PO BOX 9178
RUSSELLVILLE
AR
728119178
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