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1578980306
JACOB DAVIS
CARROLL, IA
NPI
1578980306
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: IA 005997)
Enumeration Date
2014-03-18
Last Update Date
2014-03-18
Business Address
-- JACOB DAVIS L.M.T.
322 W 3RD ST SUITE B
CARROLL, IA 51401-2708
Phone number: 712-775-2418
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Mailing Address
-- JACOB DAVIS L.M.T.
2329 YANKEE AVE
LYTTON, IA 50561-7587
Phone number: 712-210-1649
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