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1689620650
CLINT P. MALCOM
KEARNEY, NE
NPI
1689620650
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NE 110744)
Enumeration Date
2006-05-25
Last Update Date
2008-05-14
Business Address
Mr. CLINT P. MALCOM MH APRN
2315 W 39TH ST UNIT #6
KEARNEY, NE 68845-8327
Phone number: 308-233-3847
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Mailing Address
Mr. CLINT P. MALCOM MH APRN
2315 W 39TH ST UNIT #6
KEARNEY, NE 68845-8327
Phone number: 308-233-3847
Copy
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