JIM PAUL LICANDRO

LONG GROVE, IA
NPI1609873538
Other NameJAMES PAUL LICANDRO
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy213E00000X Podiatrist
(Licence: IA  00705)
Enumeration Date2005-07-07
Last Update Date2018-07-22
Business Address
DR. JIM PAUL LICANDRO DPM
405 WOODLAWN RD
LONG GROVE, IA 52756
Phone number: 832-425-7457
Mailing Address
DR. JIM PAUL LICANDRO DPM
5261 BOULDER DR APT D
WEST DES MOINES, IA 50265-7823
Phone number: 563-340-4387
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