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1003540501
CLAYTON JOE CARSON
PIEDMONT, MO
NPI
1003540501
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MO 2022026858)
Enumeration Date
2022-07-12
Last Update Date
2022-07-12
Business Address
CLAYTON JOE CARSON
420 PIEDMONT AVE
PIEDMONT, MO 63957-1024
Phone number: 573-223-4233
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Mailing Address
CLAYTON JOE CARSON
724 W GREEN HILL ST
PIEDMONT, MO 63957-1100
Phone number:
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