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1750660528
PETER MARK GRANDERSON
SILOAM SPRINGS, AR
NPI
1750660528
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AR A03579)
Enumeration Date
2011-08-11
Last Update Date
2016-09-23
Business Address
-- PETER MARK GRANDERSON APN, FNP-C
1500 N MOUNT OLIVE ST SUITE 1
SILOAM SPRINGS, AR 72761-9509
Phone number: 479-524-8175
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Mailing Address
-- PETER MARK GRANDERSON APN, FNP-C
614 E EMMA AVENUE SUITE 300
SPRINGDALE, AR 72764-4469
Phone number: 479-751-7417
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