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Individual
LESLEY K KLUG
Active
Individual
LESLEY K KLUG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
111976
NE
363LA2100X
Acute Care Nurse Practitioner
NP8436
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
454770
REGISTERED NURSE
CA
Enumeration date
11/03/2006
Last updated
02/22/2018
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