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Organization

ALL ABOUT THE FIT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MARY J YOUNG (OWNER/MANAGER)
(870) 268-1777
Entity
Organization

Contact information

Practice address
2213 E HIGHLAND DR, JONESBORO, AR 72401-6127
(870) 268-1777
(870) 268-1777
Mailing address
PO BOX 17221, JONESBORO, AR 72403-6722
(870) 268-1777
(870) 268-1777

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Enumeration date
12/05/2007
Last updated
12/05/2007
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