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Individual

VIRGIL R LAMBETH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
EDD, ATC, LAT

Contact information

Practice address
915 E MARKET AVE, SEARCY, AR 72149-0001
(501) 279-4308
(501) 279-4138
Mailing address
PO BOX 12281, SEARCY, AR 72149-0001
(501) 279-4308
(501) 279-4138

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT 285
AR

Other

Enumeration date
05/11/2017
Last updated
05/11/2017
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