PORTER JACKSON

PINE BLUFF, AR
NPI1902296353
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy111N00000X Chiropractor
(Licence: AR  16032)
Enumeration Date2015-01-23
Last Update Date2015-01-23
Business Address
-- PORTER JACKSON D.C.
1518 S POPLAR ST
PINE BLUFF, AR 71601-6249
Phone number: 870-595-4878
Mailing Address
-- PORTER JACKSON D.C.
1518 S POPLAR ST
PINE BLUFF, AR 71601-6249
Phone number: 870-595-4878
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