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1336597335
JACOB KEVIN MCDONALD
DE PERE, WI
NPI
1336597335
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 13393-24)
Enumeration Date
2016-05-31
Last Update Date
2022-09-28
Business Address
JACOB KEVIN MCDONALD PT
1601 LAWRENCE DR STE 100
DE PERE, WI 54115-3931
Phone number: 920-426-4700
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Mailing Address
JACOB KEVIN MCDONALD PT
PO BOX 19070
GREEN BAY, WI 54307-9070
Phone number: 920-496-4700
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