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Jewelle Jacklen, ATC
NPI 1487496402 · on the registry since 2024 · sole proprietor
Practice
- Address
- 11860 Zea St Nw Apt 306
Coon Rapids, MN 55433 - Phone
- (763) 218-5332
- Organisation at this address
- Jekab Llc.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Athletic Trainer
2255A2300X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-06-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota