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Individual
ANGELA J. CLEMENTS
Active
Individual
ANGELA J. CLEMENTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
OA60199442
WA
363A00000X
Physician Assistant
Primary
PA60130940
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225369861
—
WA
01
—
273214
LABOR & INDUSTRIES
WA
Enumeration date
01/21/2010
Last updated
02/25/2014
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