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Individual

DR. THOMAS VINCENT JACQUES

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
8182 DIXIE HWY, LOUISVILLE, KY 40258-1347
(502) 937-7000
(502) 937-9375
Mailing address
8182 DIXIE HWY, LOUISVILLE, KY 40258-1347
(502) 937-7000
(502) 937-9375

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4007
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
85900289
KY
Enumeration date
02/21/2006
Last updated
07/08/2007
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