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Individual
AMANDA MARIE CLERKIN
Active
Individual
AMANDA MARIE CLERKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
192277
CO
163WC3500X
Cardiac Rehabilitation Registered Nurse
192277
CO
163WH0200X
Home Health Registered Nurse
Primary
192277
CO
Other
Enumeration date
04/13/2011
Last updated
04/13/2011
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