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1871938217
JACOB RICHARD PETWAY
SACRAMENTO, CA
NPI
1871938217
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: CA 32615)
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2013-04-29
Last Update Date
2023-04-27
Business Address
Dr. JACOB RICHARD PETWAY DC, QME, IIE, BS
929 AZUSA ST
SACRAMENTO, CA 95833-2328
Phone number: 530-315-5594
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Mailing Address
Dr. JACOB RICHARD PETWAY DC, QME, IIE, BS
929 AZUSA ST
SACRAMENTO, CA 95833-2328
Phone number: 530-315-5594
Copy
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