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1467585356
SHAINA LISETTE KLACKLE
DENVER, CO
NPI
1467585356
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LW0102X Nurse Practitioner, Women's Health
(Licence: CO 160670)
Enumeration Date
2007-03-13
Last Update Date
2021-03-22
Business Address
SHAINA LISETTE KLACKLE RNC, WHNP
777 BANNOCK ST
DENVER, CO 80204-4597
Phone number: 303-602-9000
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Mailing Address
SHAINA LISETTE KLACKLE RNC, WHNP
10 EVERETT ST
LAKEWOOD, CO 80226-1260
Phone number:
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