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1265753008
JASON CHARLES COLETTA
JONESBORO, AR
NPI
1265753008
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: AR E-8778)
Enumeration Date
2010-06-16
Last Update Date
2016-01-05
Business Address
-- JASON CHARLES COLETTA DO
4802 E JOHNSON AVE
JONESBORO, AR 72401-8413
Phone number: 870-936-8000
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Mailing Address
-- JASON CHARLES COLETTA DO
PO BOX 1960
JONESBORO, AR 72403-1960
Phone number: 870-936-8000
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