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Lynette Kline

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NPI Number Detailed Information

Provider Information:

Name: Lynette Kline
Gender: F
Provider License Number If Given: 9506

NPI Information:

NPI: 1881688380
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 9/12/2005

Last Update Date: 5/5/2016

Provider Business Mailing Address:

Address: 510 CYPRESS ST STE A
Fort Bragg, CA 95437
Phone Number: 7079611037
Fax Number:

Provider Business Practice Location Address:

Address: 510 CYPRESS ST STE A
Fort Bragg, CA 95437
Phone Number: 7079611037
Fax Number: 7079610346

Provider Taxonomy:

Primary: 152W00000X
Secondary (if any):
State: CA

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