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Individual

TROY DAVID KLEESE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LAT, ATC

Contact information

Practice address
1555 SE DELAWARE AVE, SUITE M, ANKENY, IA 50021-4011
(515) 963-8723
(515) 963-8755
Mailing address
4601 TWANA DR, DES MOINES, IA 50310-2971
(515) 278-5261

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
00128
IA

Other

Enumeration date
06/20/2007
Last updated
07/08/2007
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