Individual
PAUL KLOCEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
141 HILLCREST DR, CLARKSVILLE, TN 37043-5088
(931) 221-4743
Mailing address
141 HILLCREST DR, CLARKSVILLE, TN 37043-5088
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
8439622
TN
Other
Enumeration date
07/11/2014
Last updated
07/11/2014
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