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Individual

KATELYN JULE KLOSTERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1303 W EVERGREEN AVE STE 202, EFFINGHAM, IL 62401-1638
(217) 238-4634
(217) 342-3402
Mailing address
PO BOX 372, MATTOON, IL 61938-0372

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01085288A
IN
207Q00000X
Family Medicine Physician
Primary
036.165254
IL

Other

Enumeration date
04/04/2018
Last updated
07/24/2024
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