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1790423390
MADELINE RAE JELACIC
LA CROSSE, WI
NPI
1790423390
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 16758)
Enumeration Date
2022-05-24
Last Update Date
2024-08-28
Business Address
MADELINE RAE JELACIC PT, DPT
1836 SOUTH AVE
LA CROSSE, WI 54601-5429
Phone number: 608-775-8194
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Mailing Address
MADELINE RAE JELACIC PT, DPT
1836 SOUTH AVE APT 320
LA CROSSE, WI 54601-5429
Phone number: 608-782-7300
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