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Individual

JESSICA ANN GUSTAFSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
1720 S WALTON BLVD STE 6, BENTONVILLE, AR 72712-7533
(479) 464-0834
(479) 464-0836
Mailing address
1720 S WALTON BLVD STE 6, BENTONVILLE, AR 72712-7533
(479) 464-0834
(479) 464-0836

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
16312
AR
171100000X
Acupuncturist
16312
AR

Other

Enumeration date
08/06/2024
Last updated
09/08/2025
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