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1255197919
GWENDOLYN JACOB
JONESBORO, AR
NPI
1255197919
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
(Licence: AR 000000004960)
Enumeration Date
2024-02-21
Last Update Date
2024-02-21
Business Address
GWENDOLYN JACOB
5343 HIGHWAY 1 S
JONESBORO, AR 72404-7588
Phone number: 870-623-9985
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Mailing Address
GWENDOLYN JACOB
5343 HIGHWAY 1 S
JONESBORO, AR 72404-7588
Phone number: 870-623-9985
Copy
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