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1336678036
WILLIAM IVORY
LITTLE ROCK, AR
NPI
1336678036
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date
2017-06-06
Last Update Date
2017-06-06
Business Address
WILLIAM IVORY
6320 BASELINE RD STE B
LITTLE ROCK, AR 72209-4700
Phone number: 501-319-7619
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Mailing Address
WILLIAM IVORY
6320 BASELINE RD STE B
LITTLE ROCK, AR 72209-4700
Phone number:
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