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1306375787
DAVID MICHAEL KLACIK
POLAND, OH
NPI
1306375787
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OH APRN.CNP.021064)
Enumeration Date
2017-06-08
Last Update Date
2022-07-21
Business Address
DAVID MICHAEL KLACIK CNP
715 E WESTERN RESERVE RD
POLAND, OH 44514-3358
Phone number: 330-726-3204
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Mailing Address
DAVID MICHAEL KLACIK CNP
715 E WESTERN RESERVE RD
POLAND, OH 44514-3358
Phone number: 330-726-3204
Copy
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