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1306843685
JOE CLINKENBEARD
VALPARAISO, IN
NPI
1306843685
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IN 10000235)
Enumeration Date
2005-07-01
Last Update Date
2012-05-16
Business Address
-- JOE CLINKENBEARD PA
2421 LAPORTE AVE
VALPARAISO, IN 46383-6914
Phone number: 219-462-6192
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Mailing Address
-- JOE CLINKENBEARD PA
1040 SIERRA DR SUITE 400
GREENWOOD, IN 46143-7241
Phone number: 317-528-4252
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