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1316166697
ICEM E BREWER
FAYETTEVILLE, AR
NPI
1316166697
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152WC0802X Optometrist, Corneal and Contact Management
(Licence: AR 2559)
Enumeration Date
2007-04-24
Last Update Date
2011-07-06
Business Address
Dr. ICEM E BREWER O.D.
4201 N SHILOH DR STE 1235
FAYETTEVILLE, AR 72703-5303
Phone number: 479-444-8705
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Mailing Address
Dr. ICEM E BREWER O.D.
2391 N HIDDEN CREEK DR
FAYETTEVILLE, AR 72704-6353
Phone number: 479-225-1857
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