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Individual
MS. MARY J CLAUSON
Active
Individual
MS. MARY J CLAUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN082935
GA
367H00000X
Anesthesiologist Assistant
633458
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044351705
—
TX
05
—
044374901
—
TX
Enumeration date
12/28/2005
Last updated
11/19/2010
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