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Individual

DR. SAMANTHA DEE CLEVENGER

Active
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Individual

DR. SAMANTHA DEE CLEVENGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DC

Taxonomy

Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
CH60924395
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CH60924395
CHIROPRACTIC LICENSE
WA
Enumeration date
11/30/2009
Last updated
02/24/2025
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