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1306384524
JEREMY JOHNSON
CAVE CITY, AR
NPI
1306384524
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR PTA 2626)
Enumeration Date
2017-02-08
Last Update Date
2017-02-08
Business Address
-- JEREMY JOHNSON PTA
653 GOLDEN TRL
CAVE CITY, AR 72521-9432
Phone number: 870-219-6598
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Mailing Address
-- JEREMY JOHNSON PTA
653 GOLDEN TRL
CAVE CITY, AR 72521-9432
Phone number: 870-219-6598
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