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1801856091
JENNIFER LICKTEIG
CEDAR RAPIDS, IA
NPI
1801856091
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IA 34237)
Enumeration Date
2006-03-23
Last Update Date
2007-10-25
Business Address
-- JENNIFER LICKTEIG MD
788 8TH AVE SE
CEDAR RAPIDS, IA 52401-2119
Phone number: 319-362-1551
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Mailing Address
-- JENNIFER LICKTEIG MD
PO BOX 1824
CEDAR RAPIDS, IA 52406-1824
Phone number: 319-369-4505
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