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Organization
LYNETTE KLINE O.D.
Active
Organization
LYNETTE KLINE O.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYNETTE M KLINE O,D. (DR./OWNER)
(707) 961-1037
Entity
Organization
Contact information
Practice address
205 E PINE ST, FORT BRAGG, CA 95437-3306
(707) 961-1037
(707) 961-0894
Mailing address
205 E PINE ST, FORT BRAGG, CA 95437-3306
(707) 961-1037
(707) 961-0894
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0095060
—
CA
Enumeration date
05/17/2011
Last updated
05/17/2011
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