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1881129153
JACOB MCKENZIE
JONESBORO, AR
NPI
1881129153
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171000000X Military Health Care Provider
Enumeration Date
2017-04-25
Last Update Date
2017-04-25
Business Address
-- JACOB MCKENZIE
2707 BROWNS LN
JONESBORO, AR 72401-7213
Phone number: 870-972-4939
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Mailing Address
-- JACOB MCKENZIE
2707 BROWNS LN
JONESBORO, AR 72401-7213
Phone number: 870-972-4939
Copy