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Individual

MR. JEREMY JACOB MESEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPN

Contact information

Practice address
602 DAVID ST, CORNING, AR 72422-7268
(870) 875-3655
(870) 857-3667
Mailing address
2707 BROWNS LN, JONESBORO, AR 72401-7213
(870) 972-4939
(870) 972-4911

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
TEMP1226B9
AR

Other

Enumeration date
12/18/2019
Last updated
12/18/2019
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