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Individual

MR. ROBERT WAYNE KLEIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
FNP-BC

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2007001923-22
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1346467008
BC
05
7004910
NC
Enumeration date
04/20/2007
Last updated
10/22/2012
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