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Individual

WILLIAM ALBERT KLENKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NURSE PRACTITIONER

Contact information

Practice address
275 WEST HIGHWAY 50, CANON CITY, CO 81215
(719) 269-4081
Mailing address
106 S GOLFWOOD DR W, PUEBLO WEST, CO 81007-3652
(719) 269-4081

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
90477
CO

Other

Enumeration date
12/05/2006
Last updated
07/08/2007
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