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Individual

MS. CONNIE LEE (BECKER) KLOPFENSTEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, CS

Contact information

Practice address
1501A KALAMAZOO DR, GRIFFIN, GA 30224-3919
(770) 358-8280
(770) 229-3373
Mailing address
1605 DUMBARTON LN, PEACHTREE CITY, GA 30269-3602
(770) 487-8384
(770) 487-8384

Taxonomy

Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
RN R070429
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RN R070429
APRN RN LICENSE NUMBER
GA
Enumeration date
03/22/2007
Last updated
07/08/2007
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