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Individual
LAURA CLIFTON
Active
Individual
LAURA CLIFTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA331
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00292507
RAILROAD MEDICARE
KY
Enumeration date
06/05/2006
Last updated
07/23/2007
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