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Individual

CLEMENT JOHN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PMHNP

Contact information

Practice address
3253 N 6TH ST, PHILADELPHIA, PA 19140-5644
(215) 634-3976
Mailing address
8 KINGS WAY DR, HOLLAND, PA 18966-2227
(267) 455-3218

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP020360
PA

Other

Enumeration date
08/25/2019
Last updated
08/25/2019
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