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Individual

JACOB CAIN HUTCHCRAFT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
522 N CURTIS AVE, PEA RIDGE, AR 72751-3817
(479) 451-9200
(479) 451-9222
Mailing address
PO BOX 47, PEA RIDGE, AR 72751-0047
(479) 451-9200
(479) 451-9222

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
8341
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
207863718
AR
Enumeration date
08/15/2022
Last updated
08/15/2022
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