JACOB JON DESANTIS

RICE LAKE, WI
NPI1952878415
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy111N00000X Chiropractor
(Licence: WI  5417)
Enumeration Date2018-11-01
Last Update Date2018-11-27
Business Address
JACOB JON DESANTIS
1801 W KNAPP ST STE 1
RICE LAKE, WI 54868-1381
Phone number: 715-234-3067
Mailing Address
JACOB JON DESANTIS
1801 W KNAPP ST STE 1
RICE LAKE, WI 54868-1381
Phone number: 715-205-5564
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