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1306536727
CLINTON ROBERT LACKAS
MILWAUKEE, WI
NPI
1306536727
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 16034-24)
Enumeration Date
2023-05-09
Last Update Date
2023-05-09
Business Address
CLINTON ROBERT LACKAS PT, DPT
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226-3522
Phone number: 414-805-6677
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Mailing Address
CLINTON ROBERT LACKAS PT, DPT
2919 S 45TH ST
MILWAUKEE, WI 53219-3413
Phone number:
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