JACQUELINE DIANE ROSS

LITTLE ROCK, AR
NPI1033533922
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AR  AT 604)
Enumeration Date2014-02-12
Last Update Date2014-02-12
Business Address
Mrs. JACQUELINE DIANE ROSS ATC
12509 PLEASANT FOREST DR
LITTLE ROCK, AR 72212-2214
Phone number: 479-200-0417
Mailing Address
Mrs. JACQUELINE DIANE ROSS ATC
12509 PLEASANT FOREST DR
LITTLE ROCK, AR 72212-2214
Phone number: 479-200-0417
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