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Organization

FORT LEWIS COLLEGE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTINA RENE KLOTZ FNP (CLINICAL DIRECTOR)
(970) 247-7355
Entity
Organization

Contact information

Practice address
1000 RIM DR # 170, DURANGO, CO 81301-3908
(970) 247-7355
(970) 247-7621
Mailing address
1000 RIM DR # 170, DURANGO, CO 81301-3908
(970) 217-7355
(970) 247-7621

Taxonomy

Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary

Other

Enumeration date
07/06/2023
Last updated
07/17/2023
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