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1013300029
JACLYN NICOLE KLEMAN
DECATUR, IL
NPI
1013300029
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Former Name
JACLYN NICOLE DINTAMAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070,021321)
Enumeration Date
2015-03-16
Last Update Date
2021-09-17
Business Address
JACLYN NICOLE KLEMAN
2300 N EDWARD ST
DECATUR, IL 62526-4163
Phone number: 217-876-2600
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Mailing Address
JACLYN NICOLE KLEMAN
2300 N EDWARD ST
DECATUR, IL 62526-4163
Phone number: 217-876-2600
Copy
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