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1174873723
JACOB DARRELL JOHNSON
LONOKE, AR
NPI
1174873723
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AR PT 3506)
Enumeration Date
2012-09-11
Last Update Date
2012-09-11
Business Address
Mr. JACOB DARRELL JOHNSON DPT
1515 NORTH CENTER STREET SUITE 5
LONOKE, AR 72086
Phone number: 501-676-5540
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Mailing Address
Mr. JACOB DARRELL JOHNSON DPT
1515 NORTH CENTER STREET SUITE 5
LONOKE, AR 72086
Phone number: 501-676-5540
Copy
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