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1205899473
KELLI JO RUECKERT
DECORAH, IA
NPI
1205899473
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Former Name
KELLI BLUM
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IA 00277)
Enumeration Date
2006-04-10
Last Update Date
2022-12-15
Business Address
KELLI JO RUECKERT LAT, ATC
901 MONTGOMERY ST
DECORAH, IA 52101-2325
Phone number: 563-387-3031
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Mailing Address
KELLI JO RUECKERT LAT, ATC
PO BOX 80
OSSIAN, IA 52161-0080
Phone number: 563-532-8900
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