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Individual
ANDREW CLAVIJO
Active
Individual
ANDREW CLAVIJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041489081
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209030321
IL
Other
Enumeration date
07/23/2024
Last updated
07/09/2025
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