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JONATHAN FRANKLIN KLINGAMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PMHNP

Contact information

Practice address
1111 HIGHWAY 73, MOOSE LAKE, MN 55767-9452
(218) 565-6200
Mailing address
1111 HIGHWAY 73, MOOSE LAKE, MN 55767-9452
(218) 565-6200

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R 174297-2
MN

Other

Enumeration date
06/02/2010
Last updated
06/02/2010
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