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Individual

ERICA LYNN CLINKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

Contact information

Practice address
269 PORTLAND WAY S, GALION, OH 44833-2312
(567) 204-9459
Mailing address
700 N COLUMBUS ST, CRESTLINE, OH 44827-1455
(419) 468-0522

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.020703
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
247237
OH
Enumeration date
09/07/2017
Last updated
12/28/2020
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