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Individual

HOLLY GARRETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6363 W WEDINGTON DR, FAYETTEVILLE, AR 72704-5839
(479) 800-3185
Mailing address
3195 N ADAMS RD, FAYETTEVILLE, AR 72704-9395
(501) 944-0790

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
08/14/2014
Last updated
08/14/2014
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