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Individual

DR. HARRY JETHRO HARRELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
800 PROFESSIONAL ACRES DR, JONESBORO, AR 72401-4340
(870) 333-1087
(870) 333-1088
Mailing address
800 PROFESSIONAL ACRES DR, JONESBORO, AR 72401-4340
(870) 333-1087
(870) 333-1088

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2082
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
152986722
AR
Enumeration date
12/13/2006
Last updated
01/19/2017
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