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Individual
KATHY MARIE CLEWELL
Active
Individual
KATHY MARIE CLEWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G018095
CA
207R00000X
Internal Medicine Physician
G08109C
CA
207R00000X
Internal Medicine Physician
Primary
G81095
CA
Other
Enumeration date
12/14/2006
Last updated
10/18/2018
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