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Individual
JAIMIE ANN CLODFELTER
Active
Individual
JAIMIE ANN CLODFELTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
857
NE
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
DO.000145
LA
Other
Enumeration date
08/11/2007
Last updated
02/04/2014
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