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1306464508
JACOB DECLEENE
IOWA CITY, IA
NPI
1306464508
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: IA 23717)
Enumeration Date
2020-07-14
Last Update Date
2020-07-14
Business Address
JACOB DECLEENE PharmD
200 HAWKINS DR
IOWA CITY, IA 52242-1009
Phone number: 319-356-2577
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Mailing Address
JACOB DECLEENE PharmD
200 HAWKINS DR # CC101GH
IOWA CITY, IA 52242-1009
Phone number:
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