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1063268951
KALEB JOSEPH SANDELLCLARK
MILWAUKEE, WI
NPI
1063268951
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 16787)
Enumeration Date
2024-04-30
Last Update Date
2024-08-15
Business Address
KALEB JOSEPH SANDELLCLARK MS, DPT
3003 W GOOD HOPE RD
MILWAUKEE, WI 53209-2042
Phone number: 414-352-3100
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Mailing Address
KALEB JOSEPH SANDELLCLARK MS, DPT
PO BOX 735044
CHICAGO, IL 60673-5044
Phone number: 800-326-2250
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