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1063456184
PHETSAMONE PETER XAYSANASY
FAYETTEVILLE, AR
NPI
1063456184
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
213E00000X Podiatrist
(Licence: AR 193)
Enumeration Date
2006-06-16
Last Update Date
2011-01-03
Business Address
Dr. PHETSAMONE PETER XAYSANASY D.P.M.
125 W SUNBRIDGE DR SUITE 1
FAYETTEVILLE, AR 72703-1899
Phone number: 479-251-9200
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Mailing Address
Dr. PHETSAMONE PETER XAYSANASY D.P.M.
125 W SUNBRIDGE DR SUITE 1
FAYETTEVILLE, AR 72703-1899
Phone number: 479-251-9200
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