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Individual

MRS. NANCY LOU KLINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP/APRN

Contact information

Practice address
133 SCOVILL STREET-WATERBURY VA COMMUNITY BASED CLINIC, #203, WATERBURY, CT 06706
(203) 465-5292
(203) 465-5296
Mailing address
14 WOODSIDE DRIVE, WOODBRIDGE, CT 06525
(203) 397-3535

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
000755
CT

Other

Enumeration date
07/12/2006
Last updated
07/08/2007
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