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1649397076
LANCE GROSS
MOUNTAIN HOME, AR
NPI
1649397076
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AR PT1939)
Enumeration Date
2007-03-22
Last Update Date
2020-01-09
Business Address
LANCE GROSS PT
347 HIGHWAY 62 E
MOUNTAIN HOME, AR 72653-3655
Phone number: 870-701-5089
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Mailing Address
LANCE GROSS PT
PO BOX 2398
MOUNTAIN HOME, AR 72654-2398
Phone number: 870-404-5299
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