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1164548731
CAROL KLAK
DE PERE, WI
NPI
1164548731
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: WI 1491-026)
Enumeration Date
2007-03-22
Last Update Date
2007-07-08
Business Address
-- CAROL KLAK OTR
1142 ORLANDO DR
DE PERE, WI 54115-9484
Phone number: 920-339-0700
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Mailing Address
-- CAROL KLAK OTR
3121 CRUSADE LN
GREEN BAY, WI 54313-4303
Phone number: 920-499-1484
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