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Individual
CLARENCE SUTTON
Active
Individual
CLARENCE SUTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G74582
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G74582
LICENSE
CA
Enumeration date
01/12/2007
Last updated
07/08/2007
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