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1043791130
JACOB E LUCKETT
CABOT, AR
NPI
1043791130
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AR PT4563)
Enumeration Date
2018-08-27
Last Update Date
2018-08-27
Business Address
JACOB E LUCKETT PT
2039 W MAIN ST STE B
CABOT, AR 72023-7479
Phone number: 501-605-8888
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Mailing Address
JACOB E LUCKETT PT
13100 CHENAL PARKWAY
LITTLE ROCK, AR 72211-7479
Phone number: 501-975-4040
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