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Individual

CLOE LUCIA KLAUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
113 JOYCE CTR, NOTRE DAME, IN 46556-5678
(336) 253-4619
Mailing address
3120 EAGLE PASS, LOUISVILLE, KY 40213-1212

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36003496A
IN
2255A2300X
Athletic Trainer
AT1154
KY

Other

Enumeration date
12/04/2017
Last updated
04/21/2022
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