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Individual
DR. JEFF LEE DAVIE
Active
Individual
DR. JEFF LEE DAVIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038011166
IL
111N00000X
Chiropractor
CE006572
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
900068033
ESSENCE
IL
Enumeration date
09/23/2005
Last updated
10/29/2009
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