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1932359478
DALE BRENT ADAMS
HARRISON, AR
NPI
1932359478
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
Additional Taxonomies
302F00000X Exclusive Provider Organization
Enumeration Date
2008-09-20
Last Update Date
2008-09-20
Business Address
Mr. DALE BRENT ADAMS
2313 ANVIL DR
HARRISON, AR 72601-8687
Phone number: 870-391-2231
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Mailing Address
Mr. DALE BRENT ADAMS
2313 ANVIL DR
HARRISON, AR 72601-8687
Phone number: 870-391-2231
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