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1750028593
HEALTH LANES LLC
FAYETTEVILLE, AR
NPI
1750028593
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Entity Type
Organization
Authorized Contact
THOMAS B DE MIRANDA
Owner
479-285-1255
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2022-05-13
Last Update Date
2022-05-13
Business Address
HEALTH LANES LLC
3790 N BELLAFONT BLVD STE 1
FAYETTEVILLE, AR 72703-5481
Phone number: 479-439-0777
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Mailing Address
HEALTH LANES LLC
3790 N BELLAFONT BLVD STE 1
FAYETTEVILLE, AR 72703-5481
Phone number: 479-439-0777
Copy
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