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Individual
MARY ANN CLEMENT
Active
Individual
MARY ANN CLEMENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN299064L
PA
363L00000X
Nurse Practitioner
UP001547C
PA
363LA2200X
Adult Health Nurse Practitioner
Primary
UP001547C
PA
Other
Enumeration date
09/20/2011
Last updated
01/30/2020
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