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1154784320
GRANT M GAINES
FAYETTEVILLE, AR
NPI
1154784320
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208000000X Pediatrics
(Licence: AR E-11863)
Enumeration Date
2016-04-04
Last Update Date
2024-03-14
Business Address
GRANT M GAINES MD
3380 N FUTRALL DR STE 1
FAYETTEVILLE, AR 72703
Phone number: 479-442-7322
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Mailing Address
GRANT M GAINES MD
PO BOX 1523
FAYETTEVILLE, AR 72702-1523
Phone number: 479-571-6038
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