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Tracey Klock, LPN

NPI 1679708101 · on the registry since 2009 · sole proprietor

Practice

Address
5444 Hamilton Rd
Jordan, NY 13080
Phone
(315) 689-6519

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2009-05-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York