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Individual

JAZLYN KIANA PURNELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
1274 N COLORADO DR, FAYETTEVILLE, AR 72704-6505
(479) 251-9130
Mailing address
1525 N PLANTATION AVE, FAYETTEVILLE, AR 72704-5654
(479) 595-3828

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD17047
AR

Other

Enumeration date
07/15/2024
Last updated
07/15/2024
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