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Individual
SAMUEL CLELLEN
Active
Individual
SAMUEL CLELLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
298939
KY
213E00000X
Podiatrist
Primary
SC007414
PA
Other
Enumeration date
04/05/2021
Last updated
01/15/2026
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