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Individual

JESSA MAY GEREN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1109 FAYETTEVILLE RD, VAN BUREN, AR 72956-3363
(479) 202-1850
Mailing address
8107 S 35TH TER, FORT SMITH, AR 72908-8701
(479) 202-1850

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
AR

Other

Enumeration date
12/13/2016
Last updated
07/21/2022
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