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1902205248
BRIAN D MAHANA
FAYETTEVILLE, AR
NPI
1902205248
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AR A004167)
Enumeration Date
2014-08-21
Last Update Date
2018-02-16
Business Address
BRIAN D MAHANA
3211 N. NORTH HILLS BLVD. SUITE 110
FAYETTEVILLE, AR 72703
Phone number: 479-571-4338
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Mailing Address
BRIAN D MAHANA
PO BOX 655
LOWELL, AR 72745-0655
Phone number: 479-463-7775
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