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Individual

DR. JONATHAN PAUL CLEMENS

Active
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Individual

DR. JONATHAN PAUL CLEMENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMSC, PA-C

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
13724042-1206
UT
363A00000X
Physician Assistant
138797
AK
363A00000X
Physician Assistant
MED-PAC-LIC-159346
MT
363A00000X
Physician Assistant
Primary
PA60299976
WA

Other

Enumeration date
06/10/2012
Last updated
08/17/2026
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