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1104088749
KATHY JACKSON
EL DORADO, AR
NPI
1104088749
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: AR PT278)
Enumeration Date
2008-06-25
Last Update Date
2008-06-25
Business Address
Ms. KATHY JACKSON PT
714 W GROVE ST
EL DORADO, AR 71730-4416
Phone number: 870-881-4677
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Mailing Address
Ms. KATHY JACKSON PT
3308 DOGWOOD RD
EL DORADO, AR 71730-4155
Phone number:
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