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1336613215
GARY WASHAM
LITTLE ROCK, AR
NPI
1336613215
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AR A006024)
Enumeration Date
2019-01-14
Last Update Date
2019-01-14
Business Address
Mr. GARY WASHAM FNP-C
300 S SHACKLEFORD RD
LITTLE ROCK, AR 72211-5725
Phone number: 501-918-0589
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Mailing Address
Mr. GARY WASHAM FNP-C
3 ARNOLD PALMER DR
MAUMELLE, AR 72113-6401
Phone number: 501-351-3299
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