JASMIN ANN LEASE

BENTON, AR
NPI1376792457
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: AR  PA-349)
Enumeration Date2008-09-15
Last Update Date2012-08-03
Business Address
-- JASMIN ANN LEASE PA-C
2010 ACTIVE WAY
BENTON, AR 72019-7566
Phone number: 501-315-0984
Mailing Address
-- JASMIN ANN LEASE PA-C
PO BOX 3250
BENTON, AR 72018-3250
Phone number: 501-315-0984
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