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Individual

MR. PATRICK T KLINGLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
SOLE PROPRIETOR

Contact information

Practice address
128 W 21ST ST, CLOVIS, NM 88101-4333
(505) 762-3524
(505) 762-3523
Mailing address
128 W 21ST ST, CLOVIS, NM 88101-4333
(505) 762-3524
(505) 762-3523

Taxonomy

Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
76877329
NM
Enumeration date
01/12/2007
Last updated
07/09/2007
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