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Individual

EDITH EDIE KLINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
REGISTERED NURSE

Contact information

Practice address
CORNER OF ROUTES N12 & N7, FORT DEFIANCE, AZ 86501-0649
(928) 729-8469
(928) 729-8498
Mailing address
PO BOX 685, WINDOW ROCK, AZ 86515-0685
(928) 729-8469
(928) 729-8498

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN081623
AZ

Other

Enumeration date
11/02/2006
Last updated
07/08/2007
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