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1720571102
JOUMA JALOU
FORT SMITH, AR
NPI
1720571102
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AR E-16131)
Enumeration Date
2018-06-11
Last Update Date
2024-01-19
Business Address
JOUMA JALOU
7301 ROGERS AVE
FORT SMITH, AR 72903-4100
Phone number: 479-314-6000
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Mailing Address
JOUMA JALOU
PO BOX 776084
CHICAGO, IL 60677-6084
Phone number: 314-364-4200
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