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Individual

DR. PETER G KLEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
4720 YELM HWY SE, LACEY, WA 98503-4986
(360) 491-4359
(360) 491-6417
Mailing address
4720 YELM HWY SE, LACEY, WA 98503-4986
(360) 491-4359
(360) 491-6417

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00002026
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
601593867
UBI #
WA
01
67671
LABOR AND INDUSTRIES NUMB
WA
Enumeration date
01/02/2007
Last updated
12/22/2011
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