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Individual

BARBARA S KLUBE

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1717 26TH AVE E, SEATTLE, WA 98112-3013
(206) 720-1597
Mailing address
PO BOX 97115, LAKEWOOD, WA 98497-0115
(253) 588-7911

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
AP30005268
WA
163W00000X
Registered Nurse
Primary
RN00046787
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9619917
WA
Enumeration date
06/14/2005
Last updated
07/08/2007
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