DALE BRENT ADAMS

HARRISON, AR
NPI1932359478
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171W00000X Contractor
Additional Taxonomies302F00000X Exclusive Provider Organization
Enumeration Date2008-09-20
Last Update Date2008-09-20
Business Address
Mr. DALE BRENT ADAMS
2313 ANVIL DR
HARRISON, AR 72601-8687
Phone number: 870-391-2231
Mailing Address
Mr. DALE BRENT ADAMS
2313 ANVIL DR
HARRISON, AR 72601-8687
Phone number: 870-391-2231
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