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Individual

DR. JENNIFER EUNICE ANDERSON CONNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D., M.S., B.S.

Contact information

Practice address
527 N 6TH ST, BLYTHEVILLE, AR 72315-2407
(870) 762-2297
Mailing address
527 N 6TH ST, BLYTHEVILLE, AR 72315-2407
(870) 762-2297

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2764
AR
152W00000X
Optometrist
OPT.0003222
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
221415722
AR
Enumeration date
08/03/2016
Last updated
03/20/2018
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