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1780450452
ALFREDO JAQUEZ
DAKOTA DUNES, SD
NPI
1780450452
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NE 2036)
Enumeration Date
2023-12-04
Last Update Date
2023-12-04
Business Address
ALFREDO JAQUEZ PTA
370 W ANCHOR DR STE 214
DAKOTA DUNES, SD 57049-5153
Phone number: 605-360-4697
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Mailing Address
ALFREDO JAQUEZ PTA
321 E 34TH ST
SOUTH SIOUX CITY, NE 68776-3532
Phone number:
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