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Individual
CLARENCE COLLIN BONE
Active
Individual
CLARENCE COLLIN BONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
072116
IA
Other
Enumeration date
03/04/2014
Last updated
01/23/2018
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