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1619551504
JAKE REX ERICKSON
IOWA CITY, IA
NPI
1619551504
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-05-07
Last Update Date
2021-05-07
Business Address
JAKE REX ERICKSON MD
200 HAWKINS DR
IOWA CITY, IA 52242-1009
Phone number: 319-356-1616
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Mailing Address
JAKE REX ERICKSON MD
679 MILL STREAM ST
REXBURG, ID 83440-5385
Phone number: 208-390-8016
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