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Individual

DR. HARRY R DENISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
312 N SPRING ST, FORDYCE, AR 71742-3318
(870) 352-2167
(870) 352-8883
Mailing address
PO BOX 725, FORDYCE, AR 71742-0725
(870) 352-2167
(870) 352-8883

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2050
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102066722
AR
Enumeration date
08/19/2006
Last updated
05/22/2009
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