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Individual

MR. JON CLIFFORD TRIPOD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
P.T,

Contact information

Practice address
900 W KINGSHIGHWAY, PARAGOULD, AR 72450-5942
(870) 239-7025
(870) 239-7288
Mailing address
1457 GREENE ROAD 607, BEECH GROVE, AR 72412-8883
(870) 236-9282

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
104178
MO
225100000X
Physical Therapist
Primary
1244
AR

Other

Enumeration date
09/15/2006
Last updated
07/08/2007
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