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Individual

MS. JAMES BAUMAN CLOVER JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MED, ATC, PTA

Contact information

Practice address
4444 MAGNOLIA AVE, RIVERSIDE, CA 92501-4136
(951) 274-3484
(951) 274-3599
Mailing address
3721 BEECHWOOD PL, RIVERSIDE, CA 92506-1217
(951) 274-3484
(951) 274-3599

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
07802652
CA
2255A2300X
Athletic Trainer
Primary
790198

Other

Enumeration date
02/21/2006
Last updated
07/09/2013
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