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1114173143
JERED MICHAEL WAYLAND
CAPE GIRARDEAU, MO
NPI
1114173143
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: MO 2009003271)
Enumeration Date
2008-08-11
Last Update Date
2012-10-01
Business Address
Dr. JERED MICHAEL WAYLAND D.C.
1424 KURRE LN
CAPE GIRARDEAU, MO 63701-2254
Phone number: 573-334-0100
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Mailing Address
Dr. JERED MICHAEL WAYLAND D.C.
1424 KURRE LN
CAPE GIRARDEAU, MO 63701-2254
Phone number: 573-334-0100
Copy
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