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Individual

JOHN LITTLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1140 W WALNUT ST STE 3, ROGERS, AR 72756-3597
(479) 631-9996
(479) 631-1782
Mailing address
5537 BLEAUX AVE, SPRINGDALE, AR 72762-0737
(479) 872-5580

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
07/21/2011
Last updated
07/21/2011
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