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1619346848
JACOB EDWARDS
FAYETTEVILLE, AR
NPI
1619346848
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AR 4047)
Enumeration Date
2015-09-17
Last Update Date
2015-09-17
Business Address
-- JACOB EDWARDS DPT
3317 N WIMBERLY DR
FAYETTEVILLE, AR 72703-4056
Phone number: 479-587-3117
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Mailing Address
-- JACOB EDWARDS DPT
3317 N WIMBERLY DR
FAYETTEVILLE, AR 72703-4056
Phone number: 479-587-3117
Copy
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