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1679912356
DONALD EUGENE KALLEMBACH
SPRINGFIELD, IL
NPI
1679912356
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IL 056004959)
Enumeration Date
2013-06-17
Last Update Date
2013-06-17
Business Address
DONALD EUGENE KALLEMBACH OT
1224 W LAUREL ST
SPRINGFIELD, IL 62704-3529
Phone number: 314-546-8840
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Mailing Address
DONALD EUGENE KALLEMBACH OT
1224 W LAUREL ST
SPRINGFIELD, IL 62704-3529
Phone number: 314-546-8840
Copy
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