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Individual
JAY C TAYLOR
Active
Individual
JAY C TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2870012
WI
111NS0005X
Sports Physician Chiropractor
2870-012
WI
Other
Enumeration date
01/31/2007
Last updated
09/28/2016
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