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Individual

MRS. MELANIE MARIE KLOCKNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP-PC

Contact information

Practice address
5480 NORQUEST BLVD, AUSTINTOWN, OH 44515-1820
(330) 779-0529
Mailing address
1 PERKINS SQ, AKRON, OH 44308-1063
(330) 779-0529
(330) 797-0403

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
20172682
OH

Other

Enumeration date
07/27/2017
Last updated
03/03/2021
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