KIM JAQUISH

FORT SMITH, AR
NPI1245228485
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: AR  P01373)
Enumeration Date2005-10-12
Last Update Date2010-08-27
Business Address
-- KIM JAQUISH RNP
1500 DODSON AVE STE 125
FORT SMITH, AR 72901-5182
Phone number: 479-573-7960
Mailing Address
-- KIM JAQUISH RNP
PO BOX 402319
ATLANTA, GA 30384-2319
Phone number: 479-709-7399
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