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1164740452
BLAKE D BRYANT
LOWELL, AR
NPI
1164740452
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AR E-8102)
Enumeration Date
2010-05-11
Last Update Date
2013-12-10
Business Address
Dr. BLAKE D BRYANT MD
325 S 6TH PL
LOWELL, AR 72745-9704
Phone number: 479-770-0100
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Mailing Address
Dr. BLAKE D BRYANT MD
325 S 6TH PL
LOWELL, AR 72745-9704
Phone number: 479-770-0100
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