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1457383127
BRIAN WADE TANKERSLEY
LITTLE ROCK, AR
NPI
1457383127
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: AR PA-275)
Enumeration Date
2006-07-06
Last Update Date
2022-07-21
Business Address
-- BRIAN WADE TANKERSLEY PA-C
4301 W MARKHAM ST # 783
LITTLE ROCK, AR 72205-7101
Phone number: 501-686-8000
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Mailing Address
-- BRIAN WADE TANKERSLEY PA-C
4301 W MARKHAM ST # 783
LITTLE ROCK, AR 72205-7101
Phone number: 501-686-8000
Copy
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