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1649446279
LEA SHANNON JACUZZI
LITTLE ROCK, AR
NPI
1649446279
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: AR PT 2684)
Enumeration Date
2008-05-04
Last Update Date
2008-05-04
Business Address
MRS. LEA SHANNON JACUZZI DPT
9601 INTERSTATE 630 EXIT 7
LITTLE ROCK, AR 72205-7202
Phone number: 501-202-7614
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Mailing Address
MRS. LEA SHANNON JACUZZI DPT
3515 N OLIVE ST
NORTH LITTLE ROCK, AR 72116-8769
Phone number: 501-993-0342
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