BRIAN PATRICK KUKLOK

PORTLAND, OR
NPI1205321882
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2018-06-26
Last Update Date2019-04-08
Business Address
BRIAN PATRICK KUKLOK DPM
1015 NW 22ND AVE
PORTLAND, OR 97210-3025
Phone number: 503-413-8401
Mailing Address
BRIAN PATRICK KUKLOK DPM
1015 NW 22ND AVE
PORTLAND, OR 97210-3025
Phone number: 503-413-8401
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