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Individual

JESSICA SANDERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6263 HIGHWAY 49 S, PARAGOULD, AR 72450-6093
(870) 240-0444
(870) 240-0466
Mailing address
3434 ONE PL, JONESBORO, AR 72404-9335
(870) 240-0444
(870) 240-0466

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
261QD1600X
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
198274724
AR
Enumeration date
10/12/2016
Last updated
10/12/2016
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