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1013909316
DENNIS W JACKS
PINE BLUFF, AR
NPI
1013909316
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208800000X Urology
(Licence: AR C5724)
Enumeration Date
2005-08-22
Last Update Date
2016-11-03
Business Address
Dr. DENNIS W JACKS M.D.
1609 W 40TH AVE STE 301
PINE BLUFF, AR 71603-6329
Phone number: 870-536-5162
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Mailing Address
Dr. DENNIS W JACKS M.D.
1609 W 40TH AVE STE 301
PINE BLUFF, AR 71603-6329
Phone number: 870-536-5162
Copy
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