Individual
JON ROBERT SEBOURN SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
25 GAP RD, BATESVILLE, AR 72501-8679
(870) 793-8900
(870) 793-8959
Mailing address
3204 E MOORE AVE, SEARCY, AR 72143-4826
(501) 268-7777
(501) 305-5009
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
L51261
AR
Other
Enumeration date
09/11/2013
Last updated
09/11/2013
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