LEROY JOHN KLASSEN

GANADO, AZ
NPI1669162715
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy175T00000X Peer Specialist
(Licence: AZ  UA2022082508)
Enumeration Date2023-05-11
Last Update Date2023-05-17
Business Address
LEROY JOHN KLASSEN
SR 264 & HWY 191
GANADO, AZ 86505
Phone number: 928-755-4694
Mailing Address
LEROY JOHN KLASSEN
PO BOX 176
GANADO, AZ 86505-0176
Phone number: 928-206-8231
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