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1588952675
ELLEN SMITH
JACKSONVILLE, AR
NPI
1588952675
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Former Name
ELLEN JERNIGAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: AR SP#P8334)
Enumeration Date
2011-07-11
Last Update Date
2011-12-01
Business Address
-- ELLEN SMITH
2520 W MAIN ST
JACKSONVILLE, AR 72076-4214
Phone number: 501-982-0528
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Mailing Address
-- ELLEN SMITH
2520 W MAIN ST
JACKSONVILLE, AR 72076-4214
Phone number: 501-982-0528
Copy
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