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1003543695
JORDAN PHILIP THRASHER
MOUNTAIN HOME, AR
NPI
1003543695
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: AR 201939)
Enumeration Date
2022-08-03
Last Update Date
2022-08-03
Business Address
JORDAN PHILIP THRASHER
3117 PARTIPILO ST
MOUNTAIN HOME, AR 72653-5855
Phone number: 501-206-4555
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Mailing Address
JORDAN PHILIP THRASHER
3117 PARTIPILO ST
MOUNTAIN HOME, AR 72653-5855
Phone number: 501-206-4555
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