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1023133691
JAY J RICHARD
BETTENDORF, IA
NPI
1023133691
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IA 02064)
Enumeration Date
2007-03-20
Last Update Date
2008-11-26
Business Address
-- JAY J RICHARD PT
2300 53RD AVE SUITE LL02
BETTENDORF, IA 52722-7547
Phone number: 563-332-4422
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Mailing Address
-- JAY J RICHARD PT
205 W WACKER DR SUITE 1020
CHICAGO, IL 60606-1216
Phone number: 312-640-0329
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