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1295301687
KEAGAN OMRI JONES
RUSSELLVILLE, AR
NPI
1295301687
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR PTA4633)
Enumeration Date
2021-05-27
Last Update Date
2023-01-09
Business Address
KEAGAN OMRI JONES PTA
1200 S ELMIRA AVE
RUSSELLVILLE, AR 72802-9646
Phone number: 479-968-7118
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Mailing Address
KEAGAN OMRI JONES PTA
PO BOX 2109
RUSSELLVILLE, AR 72811-2109
Phone number: 479-967-2322
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