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Individual

MR. JOYDEUZ DUQUE MARQUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1377 11TH ST NW, CLINTON, IA 52732-5068
(563) 241-4230
Mailing address
202 N BLUFF BLVD APT 103, CLINTON, IA 52732-7159
(561) 716-5760

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004139
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
72163
WELLMARK BLUE CROSS AND BLUE SHIELD
IA
Enumeration date
11/01/2007
Last updated
07/16/2008
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