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1164037941
JACOB BUCHANAN
MARION, AR
NPI
1164037941
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR 4516)
Enumeration Date
2020-09-09
Last Update Date
2020-09-09
Business Address
JACOB BUCHANAN
924 STATE HIGHWAY 77
MARION, AR 72364-9004
Phone number: 601-650-6286
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Mailing Address
JACOB BUCHANAN
832 BAYOU VISTA DR
MARION, AR 72364-5006
Phone number: 601-650-6286
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