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1104151752
JESSICA ANN POAGUE
ROGERS, AR
NPI
1104151752
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR PTA2364)
Enumeration Date
2009-10-14
Last Update Date
2012-10-15
Business Address
-- JESSICA ANN POAGUE PTA
1000 W POPLAR ST
ROGERS, AR 72756-4242
Phone number: 918-681-0684
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Mailing Address
-- JESSICA ANN POAGUE PTA
3230 CHEROKEE RD
ROGERS, AR 72758-1320
Phone number: 918-681-0684
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