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1023107422
JACLYN M DIGIACOMO
CHICAGO, IL
NPI
1023107422
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070015158)
Enumeration Date
2006-10-12
Last Update Date
2007-11-13
Business Address
Miss JACLYN M DIGIACOMO LPT
5545 W MONTROSE AVE
CHICAGO, IL 60641-1331
Phone number: 773-282-6648
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Mailing Address
Miss JACLYN M DIGIACOMO LPT
5545 W MONTROSE AVE
CHICAGO, IL 60641-1331
Phone number: 773-282-6648
Copy
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