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1407453368
MARIAH KAY JACKSON
JONESBORO, AR
NPI
1407453368
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR 4493)
Enumeration Date
2020-10-05
Last Update Date
2020-10-05
Business Address
MARIAH KAY JACKSON PTA
CREATIVE KIDS THERAPY
JONESBORO, AR 72401
Phone number: 870-336-0220
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Mailing Address
MARIAH KAY JACKSON PTA
4004 GABRIEL CT
JONESBORO, AR 72405-8676
Phone number: 573-727-4808
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