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Individual
CLAIRE MARIE MANCHESTER
Active
Individual
CLAIRE MARIE MANCHESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA0259
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083952238
—
NV
01
—
V109258
MEDICARE PTAN
—
Enumeration date
01/23/2013
Last updated
11/09/2016
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