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1518025006
WILLIAM ALBERT KLENKE
CANON CITY, CO
NPI
1518025006
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CO 90477)
Enumeration Date
2006-12-05
Last Update Date
2007-07-08
Business Address
-- WILLIAM ALBERT KLENKE Nurse Practitioner
275 WEST HIGHWAY 50
CANON CITY, CO 81215
Phone number: 719-269-4081
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Mailing Address
-- WILLIAM ALBERT KLENKE Nurse Practitioner
106 S GOLFWOOD DR W
PUEBLO WEST, CO 81007-3652
Phone number: 719-269-4081
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