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1669829347
JACLYN CLAUSON
BELLEVILLE, IL
NPI
1669829347
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO 2014027293)
Enumeration Date
2016-05-23
Last Update Date
2024-08-20
Business Address
JACLYN CLAUSON MM, ATC, LAT
2800 W MAIN ST
BELLEVILLE, IL 62226-6612
Phone number: 320-226-4377
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Mailing Address
JACLYN CLAUSON MM, ATC, LAT
8501 W 22ND ST APT 309
SIOUX FALLS, SD 57106-8482
Phone number: 320-226-4377
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