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1063695153
TERESA KLOKKENGA
COLORADO SPRINGS, CO
NPI
1063695153
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IL AA563015)
Enumeration Date
2007-12-11
Last Update Date
2007-12-11
Business Address
-- TERESA KLOKKENGA
8540 SCARBOROUGH DR
COLORADO SPRINGS, CO 80920-7502
Phone number: 719-597-0822
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Mailing Address
-- TERESA KLOKKENGA
8540 SCARBOROUGH DR
COLORADO SPRINGS, CO 80920-7502
Phone number: 719-597-0822
Copy
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