JAN E BANQUICIO

KOKOMO, IN
NPI1588827869
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: IN  31004083A)
Enumeration Date2008-07-07
Last Update Date2008-07-07
Business Address
-- JAN E BANQUICIO OTR
429 W LINCOLN RD
KOKOMO, IN 46902-3508
Phone number: 765-453-5600
Mailing Address
-- JAN E BANQUICIO OTR
903 GULF SHORE BLVD
KOKOMO, IN 46902-4898
Phone number: 765-864-0813
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