Individual
MR. JOHN ERICH KLUGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
24 OLD ETNA ROAD, LEBANON, NH 03766
(603) 448-2234
Mailing address
28 SUNRISE FARM LN, ENFIELD, NH 03748-3726
(603) 443-0491
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1105
NH
Other
Enumeration date
10/02/2014
Last updated
10/02/2014
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