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1164558458
JEFF DENISTON
JONESBORO, AR
NPI
1164558458
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: AR PT 2232)
Enumeration Date
2007-02-23
Last Update Date
2007-07-08
Business Address
-- JEFF DENISTON PT
505 E MATTHEWS AVE SUITE 205
JONESBORO, AR 72401-3144
Phone number: 870-932-9567
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Mailing Address
-- JEFF DENISTON PT
709 W MATTHEWS AVE APT 2
JONESBORO, AR 72401-3456
Phone number: 870-275-1975
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