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1932978764
MARK JAECKLE
ORCHARD PARK, NY
NPI
1932978764
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 010785-01)
Enumeration Date
2023-12-20
Last Update Date
2023-12-20
Business Address
MARK JAECKLE PT
145 STOUGHTON LN
ORCHARD PARK, NY 14127-2086
Phone number: 716-481-9044
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Mailing Address
MARK JAECKLE PT
145 STOUGHTON LN
ORCHARD PARK, NY 14127-2086
Phone number: 716-481-9044
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