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Individual
QUENTIN LEVAN MCCLINTOCK
Active
Individual
QUENTIN LEVAN MCCLINTOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
IHCP-1138
SC
253Z00000X
In Home Supportive Care Agency
Primary
IHCP-1138
SC
Other
Enumeration date
02/10/2020
Last updated
02/10/2020
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