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1205193612
JACKLYN GODDARD
GREEN BAY, WI
NPI
1205193612
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Former Name
JACKLYN MILLER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 11243)
Enumeration Date
2012-04-23
Last Update Date
2016-06-03
Business Address
-- JACKLYN GODDARD PT
2845 GREENBRIER RD
GREEN BAY, WI 54311-6519
Phone number: 920-288-8000
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Mailing Address
-- JACKLYN GODDARD PT
2845 GREENBRIER RD
GREEN BAY, WI 54311-6519
Phone number: 920-288-8000
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