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1205037611
GEORGE RYAN DECLERK
ROGERS, AR
NPI
1205037611
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AR E5450)
Enumeration Date
2007-05-31
Last Update Date
2020-09-09
Business Address
GEORGE RYAN DECLERK M.D.
2603 W PLEASANT GROVE RD SUITE 109
ROGERS, AR 72758-5804
Phone number: 479-636-4138
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Mailing Address
GEORGE RYAN DECLERK M.D.
2603 W PLEASANT GROVE RD SUITE 109
ROGERS, AR 72758-5804
Phone number: 479-636-4138
Copy
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