Leroy John Klassen

NPI #1669162715 in Ganado, Arizona

Provider Information

NPI Number: 1669162715
Entity Type: Individual
Name: Leroy John Klassen
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Enumeration Date: May 11, 2023
Last Updated: May 17, 2023

Practice Location

Address: SR 264 & HWY 191
City: Ganado
State: Arizona
ZIP Code: 86505
Phone: (928) 755-4694

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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