Provider First Line Business Practice Location Address:
1502 NORTH HILL STREET NEWARK AR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEWARK
Provider Business Practice Location Address State Name:
AR
Provider Business Practice Location Address Postal Code:
72562
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
870-201-2577
Provider Business Practice Location Address Fax Number:
870-799-8647
Provider Enumeration Date:
01/11/2007