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Individual
LINDA MCCLELLAN
Active
Individual
LINDA MCCLELLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
467144
CA
363LF0000X
Family Nurse Practitioner
Primary
19379
CA
Other
Enumeration date
06/16/2011
Last updated
06/16/2011
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