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Individual

VALERIE A. KLUNICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP-PC

Contact information

Practice address
2200 WABASH AVE, SPRINGFIELD, IL 62704-5352
(217) 528-7541
Mailing address
1025 S 6TH ST, SPRINGFIELD, IL 62703-2403
(217) 528-7541

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
209-0027277
IL

Other

Enumeration date
09/27/2006
Last updated
02/03/2009
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