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1740012129
CAROLYN JACKSON
FORT SMITH, AR
NPI
1740012129
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR PTA2019)
Enumeration Date
2024-08-15
Last Update Date
2024-08-15
Business Address
CAROLYN JACKSON
9220 HIGHWAY 71 S STE 10
FORT SMITH, AR 72916-9151
Phone number: 479-763-1412
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Mailing Address
CAROLYN JACKSON
9220 HIGHWAY 71 S STE 10
FORT SMITH, AR 72916-9151
Phone number: 479-763-7008
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