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1043094105
FAITH JACKSON
NEWPORT, AR
NPI
1043094105
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
222Q00000X Developmental Therapist
Additional Taxonomies
174400000X Specialist
Enumeration Date
2023-08-21
Last Update Date
2023-11-17
Business Address
FAITH JACKSON
221 LINDLEY LN
NEWPORT, AR 72112-4954
Phone number: 870-523-2124
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Mailing Address
FAITH JACKSON
221 LINDLEY LN
NEWPORT, AR 72112-4954
Phone number: 870-523-2124
Copy
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