Individual
PAYTON KUKLOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 CENTRACARE CIR, SAINT CLOUD, MN 56303-5000
(320) 251-2700
Mailing address
1900 CENTRACARE CIR, SAINT CLOUD, MN 56303-5000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/01/2023
Last updated
01/09/2024
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