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Individual

CORBIN FROST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3205 W MAIN ST, RUSSELLVILLE, AR 72801-2301
(479) 967-4673
Mailing address
602 N WALTON BLVD, BENTONVILLE, AR 72712-4576
(479) 464-1060

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
06/20/2014
Last updated
06/20/2014
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