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Individual
MARK R CLONINGER
Active
Individual
MARK R CLONINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
335010
NY
363LF0000X
Family Nurse Practitioner
Primary
F335010-1
NY
Other
Enumeration date
06/20/2007
Last updated
07/06/2023
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