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Individual

MR. ERIC G JACOBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
701 10TH ST SE, CEDAR RAPIDS, IA 52403-1251
(319) 398-6011
(319) 398-6509
Mailing address
1300 GODWARD ST NE STE 6250, MINNEAPOLIS, MN 55413-2561
(800) 303-8189
(612) 378-7526

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
00757
IA

Other

Enumeration date
09/07/2007
Last updated
09/07/2007
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