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Individual
DR. PAUL DANTE JACOY
Active
Individual
DR. PAUL DANTE JACOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
DC22376
CA
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
06/01/2005
Last updated
02/25/2019
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