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SHAWN CHRISTOFFER KLOCEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
9201 MONTGOMERY BLVD NE, AFTER HOURS PEDIATRICS SUITE 201, ALBUQUERQUE, NM 87111-2468
(505) 298-2505
Mailing address
10909 SANDMAN DR NW, ALBUQUERQUE, NM 87114-1982
(505) 792-9259

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2008-0019
NM

Other

Enumeration date
05/28/2008
Last updated
05/28/2008
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