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Organization
JAN CLEMENTS AGNP CORP
Active
Organization
JAN CLEMENTS AGNP CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JAN CLEMENTS N.P. (NURSE PRACTIONER)
(801) 796-7961
Entity
Organization
Contact information
Practice address
66 E STATE RD, PLEASANT GROVE, UT 84062-2637
(801) 796-7961
(801) 796-1101
Mailing address
66 E STATE RD, PLEASANT GROVE, UT 84062-2637
(801) 796-7961
(801) 796-1101
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1938944405
UT
Other
Enumeration date
07/07/2014
Last updated
07/07/2014
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