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1346534427
JILL SELF
JONESBORO, AR
NPI
1346534427
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR 2503)
Enumeration Date
2011-06-06
Last Update Date
2011-06-06
Business Address
-- JILL SELF PTA
806 GLENDALE ST
JONESBORO, AR 72401-4455
Phone number: 870-933-9528
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Mailing Address
-- JILL SELF PTA
91 COUNTY ROAD 620
JONESBORO, AR 72404-8694
Phone number:
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