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Individual

DR. LARRY J GRACE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
2000 DODSON AVE, FORT SMITH, AR 72901-4824
(479) 782-5057
Mailing address
PO BOX 1944, FORT SMITH, AR 72902-1944
(479) 782-5057

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2071
AR

Other

Enumeration date
05/14/2007
Last updated
03/12/2008
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