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1477645026
ALICE VIRGINIA FANN
NORTH LITTLE ROCK, AR
NPI
1477645026
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: AR E-0357)
Enumeration Date
2006-09-29
Last Update Date
2007-07-08
Business Address
Dr. ALICE VIRGINIA FANN M.D., Ph.D.
2200 FORT ROOTS DR RT 117/NLR
NORTH LITTLE ROCK, AR 72114-1709
Phone number: 501-257-2995
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Mailing Address
Dr. ALICE VIRGINIA FANN M.D., Ph.D.
2200 FORT ROOTS DR RT 117/NLR, DEPT. OF PM&R
NORTH LITTLE ROCK, AR 72114-1709
Phone number: 501-257-2995
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