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Individual

DR. GEORGE REDDELL NOLAN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
103 W COLT SQUARE DR, FAYETTEVILLE, AR 72703-2835
(479) 856-6604
Mailing address
103 W COLT SQUARE DR, FAYETTEVILLE, AR 72703-2835
(479) 856-6604

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
15995
AR

Other

Enumeration date
07/19/2012
Last updated
07/19/2012
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