Provider Information for 1326470550
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EILEEN CAULEY
Sex: Female
NPI: 1326470550
Last Updated: 2013-07-30
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1326470550 | ||||||||
| Enumeration Date | 2013-07-30 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 602 N WALTON BLVD BENTONVILLE, AR 72712-4576 United States Phone: 479-464-1060 | Fax:479-271-6307 | ||||||||
| Primary Practice Address | 412 N WASHINGTON AVE EL DORADO, AR 71730-5616 United States Phone: 870-863-4611 | Fax:870-863-4962 | ||||||||
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