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1700289964
JOHN ERICH KLUGE
LEBANON, NH
NPI
1700289964
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
314000000X Skilled Nursing Facility
(Licence: NH 1105)
Enumeration Date
2014-10-02
Last Update Date
2014-10-02
Business Address
Mr. JOHN ERICH KLUGE PTA
24 OLD ETNA ROAD
LEBANON, NH 03766
Phone number: 603-448-2234
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Mailing Address
Mr. JOHN ERICH KLUGE PTA
28 SUNRISE FARM LN
ENFIELD, NH 03748-3726
Phone number: 603-443-0491
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