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1093369589
JACOB CANRIGHT
DAVENPORT, IA
NPI
1093369589
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2081S0010X Physical Medicine & Rehabilitation Sports Medicine
(Licence: IL 070.022579)
Enumeration Date
2019-08-01
Last Update Date
2019-08-01
Business Address
JACOB CANRIGHT DPT
3200 W KIMBERLY RD
DAVENPORT, IA 52806-3059
Phone number: 563-421-0300
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Mailing Address
JACOB CANRIGHT DPT
3200 W KIMBERLY RD
DAVENPORT, IA 52806-3059
Phone number: 563-421-0300
Copy
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