Individual
JOEL DAVID PACKEBUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1799 HIGHWAY 71 NORTH, OKOBOJI, IA 51355
(712) 332-7775
Mailing address
PO BOX 792, OKOBOJI, IA 51355
(712) 330-2610
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06935
IA
Other
Enumeration date
02/03/2009
Last updated
02/03/2009
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