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1720771330
JESSE EDWARDS
FAYETTEVILLE, AR
NPI
1720771330
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AR PT4623)
Enumeration Date
2023-05-30
Last Update Date
2023-10-04
Business Address
JESSE EDWARDS
1125 N COLLEGE AVE # 100
FAYETTEVILLE, AR 72703-1908
Phone number: 479-713-8630
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Mailing Address
JESSE EDWARDS
4301 W MARKHAM ST # 783
LITTLE ROCK, AR 72205-7101
Phone number: 501-686-8000
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