KENTON LEE HAGAN

FAYETTEVILLE, AR
NPI1235524653
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207X00000X Orthopaedic Surgery
(Licence: AR  E-12883)
Enumeration Date2015-04-02
Last Update Date2020-09-15
Business Address
KENTON LEE HAGAN
3900 N PARKVIEW DR
FAYETTEVILLE, AR 72703-6398
Phone number: 479-966-4187
Mailing Address
KENTON LEE HAGAN
3900 N PARKVIEW DR
FAYETTEVILLE, AR 72703-6398
Phone number: 479-966-4187
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