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Organization
JAQUA CHIROPRACTIC LLC
Active
Organization
JAQUA CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIM JAQUA D.C. (DOCTOR)
(727) 347-2225
Entity
Organization
Contact information
Practice address
6449 38TH AVE N, SUITE B3, SAINT PETERSBURG, FL 33710-1655
(727) 347-2225
Mailing address
6449 38TH AVE N, SUITE B3, SAINT PETERSBURG, FL 33710-1655
(727) 347-2225
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
9579
FL
Other
Enumeration date
02/06/2015
Last updated
03/24/2015
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