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Individual
MR. CLAY WOODROW REEVES JR.
Active
Individual
MR. CLAY WOODROW REEVES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704247153
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704247153
LICENSE
MI
Enumeration date
10/14/2010
Last updated
04/02/2015
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