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1538371968
RUSSELL WAYNE ZEPEDA
MAMMOTH SPRING, AR
NPI
1538371968
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171WH0202X Contractor, Home Modifications
(Licence: AR E-2608)
Enumeration Date
2007-05-06
Last Update Date
2007-07-08
Business Address
Dr. RUSSELL WAYNE ZEPEDA M.D.
553 WEATHERSTONE RD
MAMMOTH SPRING, AR 72554-9479
Phone number: 870-625-0037
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Mailing Address
Dr. RUSSELL WAYNE ZEPEDA M.D.
553 WEATHERSTONE RD
MAMMOTH SPRING, AR 72554-9479
Phone number: 870-625-0037
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