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1154654937
JON KENLY ALLEN
LITTLE ROCK, AR
NPI
1154654937
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: AR PA-188)
Enumeration Date
2009-09-11
Last Update Date
2009-09-11
Business Address
Mr. JON KENLY ALLEN PA
4301 W MARKHAM ST SLOT 639
LITTLE ROCK, AR 72205-7101
Phone number: 501-296-1682
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Mailing Address
Mr. JON KENLY ALLEN PA
4301 W MARKHAM ST SLOT 639
LITTLE ROCK, AR 72205-7101
Phone number: 501-296-1682
Copy
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