Individual
MS. JULIE ANN KLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
7500 MERCY RD, OMAHA, NE 68124-2319
(402) 398-6060
Mailing address
2323 S 63RD CIR APT 354, OMAHA, NE 68106-3038
(708) 819-2087
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/14/2022
Last updated
03/14/2022
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