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Individual

MR. VINCIENT CLEAMONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.D.

Contact information

Practice address
1011 HONOR HEIGHTS DRIVE, VA MEDICAL CENTER, MUSKOGEE, OK 74401
(918) 680-3735
(918) 680-3829
Mailing address
3300 MONTA AVENUE, MUSKOGEE, OK 74403
(801) 597-6007

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
692977

Other

Enumeration date
07/25/2006
Last updated
07/08/2007
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