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1053336149
JACK PHILLIP SCHAEFER
LITTLE ROCK, AR
NPI
1053336149
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: AR 94-30P)
Enumeration Date
2006-07-12
Last Update Date
2007-07-08
Business Address
-- JACK PHILLIP SCHAEFER
4313 W MARKHAM ST
LITTLE ROCK, AR 72205-4023
Phone number: 501-686-9406
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Mailing Address
-- JACK PHILLIP SCHAEFER
4313 W MARKHAM ST
LITTLE ROCK, AR 72205-4023
Phone number: 501-686-9406
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