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1346989563
BRYCE THOMAS LORD
FORT SMITH, AR
NPI
1346989563
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: IA 602AH0340)
Enumeration Date
2022-06-04
Last Update Date
2022-06-04
Business Address
BRYCE THOMAS LORD
7000 CHAD COLLEY BLVD
FORT SMITH, AR 72916-6024
Phone number: 479-308-2243
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Mailing Address
BRYCE THOMAS LORD
7000 CHAD COLLEY BLVD
FORT SMITH, AR 72916-6024
Phone number: 479-308-2243
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