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1093979254
KELLY-GWYNNE MASON FERGUS
JONESBORO, AR
NPI
1093979254
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: AR 3659)
Enumeration Date
2008-07-16
Last Update Date
2015-06-02
Business Address
Dr. KELLY-GWYNNE MASON FERGUS DDS, MDS
2812 HARRISBURG RD
JONESBORO, AR 72401-6081
Phone number: 870-336-3366
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Mailing Address
Dr. KELLY-GWYNNE MASON FERGUS DDS, MDS
2812 HARRISBURG RD
JONESBORO, AR 72401-6081
Phone number: 870-336-3366
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