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1497361182
JASON DALE RYBURN
LITTLE ROCK, AR
NPI
1497361182
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: AR L051729)
Enumeration Date
2020-09-18
Last Update Date
2020-09-18
Business Address
JASON DALE RYBURN
4300 W 7TH ST
LITTLE ROCK, AR 72205-5446
Phone number: 501-257-6550
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Mailing Address
JASON DALE RYBURN
901 HIGHWAY 88
LONSDALE, AR 72087-9670
Phone number: 501-326-5679
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