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1952170268
JONATHAN RYAN CLAY
APPLE VALLEY, CA
NPI
1952170268
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA 95028526)
Enumeration Date
2023-12-28
Last Update Date
2023-12-28
Business Address
JONATHAN RYAN CLAY PMHNP
14280 RICAREE RD
APPLE VALLEY, CA 92307-5724
Phone number: 760-646-7399
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Mailing Address
JONATHAN RYAN CLAY PMHNP
14280 RICAREE RD
APPLE VALLEY, CA 92307-5724
Phone number: 760-646-7399
Copy
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