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1831681360
JACOB DENNIS LESLIE
SEARCY, AR
NPI
1831681360
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AR 2000031574)
Enumeration Date
2018-05-31
Last Update Date
2018-05-31
Business Address
Mr. JACOB DENNIS LESLIE ATC
915 E MARKET AVE
SEARCY, AR 72149-5615
Phone number: 731-518-5376
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Mailing Address
Mr. JACOB DENNIS LESLIE ATC
34 FOXBORO DR
SEARCY, AR 72143-6421
Phone number: 731-518-5376
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