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Individual

TERRY LEE KLUG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
3801 MOUNTAIN RD, PASADENA, MD 21122-2026
(410) 222-6460
(410) 222-6498
Mailing address
7824 APPLETREE RD, PASADENA, MD 21122-3613
(410) 360-7089

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP15220
MD

Other

Enumeration date
04/24/2007
Last updated
07/08/2007
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