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1255662680
JOHN RUSSELL BERRY
FORREST CITY, AR
NPI
1255662680
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: AR 2380)
Enumeration Date
2010-01-25
Last Update Date
2010-01-25
Business Address
Mr. JOHN RUSSELL BERRY D.D.S.
1220 N DIVISION ST
FORREST CITY, AR 72335-2307
Phone number: 870-633-4219
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Mailing Address
Mr. JOHN RUSSELL BERRY D.D.S.
1220 N DIVISION ST
FORREST CITY, AR 72335-2307
Phone number: 870-633-4219
Copy
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