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1972241164
JACK REID FAWCETT
FARMINGTON, AR
NPI
1972241164
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: AR 4591)
Enumeration Date
2022-05-26
Last Update Date
2022-05-26
Business Address
JACK REID FAWCETT DDS
82 SOUTHWINDS RD
FARMINGTON, AR 72730-8677
Phone number: 479-267-2266
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Mailing Address
JACK REID FAWCETT DDS
400 RIVERWALK TER STE 250
JENKS, OK 74037-5619
Phone number: 918-998-0996
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