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1770504458
ROBERT RUSSELL ORGAIN
FAYETTEVILLE, AR
NPI
1770504458
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: AR 2412)
Enumeration Date
2006-07-21
Last Update Date
2019-05-11
Business Address
ROBERT RUSSELL ORGAIN O.D.
3316 W GROVE DR STE 1
FAYETTEVILLE, AR 72704-5003
Phone number: 479-521-2020
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Mailing Address
ROBERT RUSSELL ORGAIN O.D.
PO BOX 9628
FAYETTEVILLE, AR 72703-0028
Phone number: 479-521-2020
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