Individual
JACQUELINE M GULLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
2010 E 38TH ST STE 201B, DAVENPORT, IA 52807-1179
(309) 714-5512
Mailing address
10699 E 600TH ST, LYNN CENTER, IL 61262-9764
(309) 714-5512
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
079576
IA
Other
Enumeration date
09/05/2018
Last updated
09/05/2018
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