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Individual

DR. JAY P GULOTTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
1116 PARK TERRACE DR, ROCKFORD, IL 61114-5944
(815) 877-5014
Mailing address
1116 PARK TERRACE DR, ROCKFORD, IL 61114-5944
(815) 877-5014

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
IL

Other

Enumeration date
07/12/2006
Last updated
07/08/2007
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