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Individual

CLINTON LANGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
916 COMANCHE CT, CAMARILLO, CA 93010-2913
(830) 370-8023
Mailing address
916 COMANCHE CT, CAMARILLO, CA 93010-2913
(830) 370-8023

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
718745-1
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
95001852
CA

Other

Enumeration date
01/07/2019
Last updated
05/01/2026
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