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1265158513
JACOB LAFAYETTE
DES MOINES, IA
NPI
1265158513
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IA 090047)
Enumeration Date
2022-10-18
Last Update Date
2022-10-18
Business Address
JACOB LAFAYETTE DPT
1211 E ARMY POST RD
DES MOINES, IA 50315-5957
Phone number: 515-256-9540
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Mailing Address
JACOB LAFAYETTE DPT
1211 E ARMY POST RD
DES MOINES, IA 50315-5957
Phone number:
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