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1891260931
KEVIN WAYNE KACKLEY
MT STERLING, IL
NPI
1891260931
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
405300000X Prevention Professional
(Licence: IL 090-005298)
Enumeration Date
2018-10-04
Last Update Date
2018-10-04
Business Address
Dr. KEVIN WAYNE KACKLEY DVM
897 850E ST
MT STERLING, IL 62353-1798
Phone number: 217-773-3366
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Mailing Address
Dr. KEVIN WAYNE KACKLEY DVM
PO BOX 228
MT STERLING, IL 62353-0228
Phone number: 217-773-3366
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