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Individual

SABRE AYERS WRIGHT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
519 N WILLOW, HARRISON, AR 72601
(870) 741-2787
(870) 741-6714
Mailing address
PO BOX 2417, 519 N WILLOW, HARRISON, AR 72601
(870) 741-2787
(870) 741-6714

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2445
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
49703
BLCR AND OTHER ID NUMBER
AR
01
5C405
CLINIC NUMBER
AR
Enumeration date
05/31/2005
Last updated
11/21/2007
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