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Individual

BRANDON COREY CRAINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
HIGHWAY 18 BYPASS, MANILA, AR 72442
(870) 561-3224
(870) 561-4370
Mailing address
623 E MATTHEWS AVE, # A, JONESBORO, AR 72401-3145
(870) 561-3224
(870) 561-4370

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2521
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
143936722
AR
Enumeration date
07/01/2006
Last updated
04/20/2017
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