Provider First Line Business Practice Location Address:
2216 MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DES ARC
Provider Business Practice Location Address State Name:
AR
Provider Business Practice Location Address Postal Code:
72040-3100
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
870-256-4194
Provider Business Practice Location Address Fax Number:
870-256-1407
Provider Enumeration Date:
10/07/2005