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Individual
CLEMMIE JO MCDONALD
Active
Individual
CLEMMIE JO MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNFA
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
R819129
MS
Other
Enumeration date
12/16/2009
Last updated
12/09/2016
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