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1982660742
HOMER KEVIN BEAVERS
RUSSELLVILLE, AR
NPI
1982660742
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: AR C-6569)
Enumeration Date
2006-04-21
Last Update Date
2018-05-16
Business Address
HOMER KEVIN BEAVERS MD
101 SKYLINE DR
RUSSELLVILLE, AR 72801
Phone number: 479-968-2345
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Mailing Address
HOMER KEVIN BEAVERS MD
101 SKYLINE DR
RUSSELLVILLE, AR 72801-3363
Phone number: 479-968-2345
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