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1104470806
JACQUELINE MARIE KOMAREK
SHERWOOD, AR
NPI
1104470806
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2019-07-31
Last Update Date
2023-11-27
Business Address
-- JACQUELINE MARIE KOMAREK ATC
7507 WARDEN RD
SHERWOOD, AR 72120-5042
Phone number: 501-301-4530
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Mailing Address
-- JACQUELINE MARIE KOMAREK ATC
1501 RAHLING RD APT 408
LITTLE ROCK, AR 72223-4651
Phone number: 501-317-7348
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