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1215507298
JEFFREY MICHAEL CLEMENS
MODESTO, CA
NPI
1215507298
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: CA 95017564)
Enumeration Date
2021-06-30
Last Update Date
2021-07-21
Business Address
JEFFREY MICHAEL CLEMENS ACNP
1700 COFFEE RD
MODESTO, CA 95355-2803
Phone number: 209-579-5628
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Mailing Address
JEFFREY MICHAEL CLEMENS ACNP
1700 COFFEE RD
MODESTO, CA 95355-2803
Phone number: 209-526-4500
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