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Individual
CLEMENTINE OKIE
Active
Individual
CLEMENTINE OKIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
R196829
MD
363LG0600X
Gerontology Nurse Practitioner
R196829
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R196829
MD
Other
Enumeration date
02/10/2020
Last updated
09/10/2024
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