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Individual
DEBORAH LEE KLANCHAR
Active
Individual
DEBORAH LEE KLANCHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
26NJ00765100
NJ
363LP2300X
Primary Care Nurse Practitioner
26NR13517200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26NR13517200
STAT OF NEW JERSEY OFFICE OF ATTORNEY GENERAL DIVISION OF CONSUMER AFFAIRS
NJ
01
—
RN609518
COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF STATE
PA
Enumeration date
09/11/2017
Last updated
05/06/2019
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