Individual
MS. DEBORAH R JACQUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
68 MAIN ST, CAMILLUS, NY 13031
(315) 744-5145
Mailing address
2024 CANAL RD, MEMPHIS, NY 13112-9799
(315) 744-5145
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
P84258
NY
Other
Enumeration date
06/14/2012
Last updated
10/03/2018
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