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1558621367
JACKS DERMATOLOGY P.A.
PINE BLUFF, AR
NPI
1558621367
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Entity Type
Organization
Authorized Contact
JENNIFER L JACKS
President
870-534-7546
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: AR E7442)
Enumeration Date
2012-05-26
Last Update Date
2012-05-26
Business Address
JACKS DERMATOLOGY P.A.
1710 W 42ND AVE
PINE BLUFF, AR 71603-7008
Phone number: 870-534-7546
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Mailing Address
JACKS DERMATOLOGY P.A.
1710 W 42ND AVE
PINE BLUFF, AR 71603-7008
Phone number: 870-534-7546
Copy
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