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Individual

SAMMIE LEE JONES JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
489 FERN ST, MARIANNA, AR 72360-2937
(870) 821-2332
Mailing address
489 FERN ST, MARIANNA, AR 72360-2937
(870) 821-2332

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
900081272
AR
347C00000X
Private Vehicle
Primary
900081272
AR

Other

Enumeration date
03/22/2023
Last updated
03/22/2023
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