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1124542709
ANTHONY EDWARD KLINGERT
APPLETON, WI
NPI
1124542709
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WI 18248-130)
Enumeration Date
2017-07-26
Last Update Date
2018-03-17
Business Address
ANTHONY EDWARD KLINGERT
3003 N RICHMOND ST # A
APPLETON, WI 54911-1148
Phone number: 920-225-1737
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Mailing Address
ANTHONY EDWARD KLINGERT
1114 RED WING TRL
DE PERE, WI 54115-3290
Phone number: 920-639-7972
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