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Individual

DUC (DOUGLAS) TRAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1615 E CENTERTON BLVD, CENTERTON, AR 72719-9208
(479) 936-1668
Mailing address
116 NW APPLE BLOSSOM, BENTONVILLE, AR 72712-8424
(479) 936-1668

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8424
AR

Other

Enumeration date
04/23/2020
Last updated
04/23/2020
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