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Individual
MR. CLIFFORD JONES
Active
Individual
MR. CLIFFORD JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
13-41899-092
KS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
74633
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100457120B
—
KS
Enumeration date
11/01/2006
Last updated
09/18/2013
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