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Individual

DEBORAH JO KLINKERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD, RPH

Contact information

Practice address
3201 MANAWA CENTRE DR, COUNCIL BLUFFS, IA 51501-7672
(712) 366-1315
Mailing address
3201 MANAWA CENTRE DR, COUNCIL BLUFFS, IA 51501-7672
(712) 366-1315

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
1-13148
KS
183500000X
Pharmacist
14087
NE
183500000X
Pharmacist
Primary
21840
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
226640
NABP
Enumeration date
09/08/2013
Last updated
09/08/2013
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