Individual
MS. MARY P CLEMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1000 MCKINLEY PARK DR, MARION, OH 43302
(740) 383-8400
Mailing address
504 SHEFFIELD CT, AURORA, OH 44202-7944
(419) 560-2572
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
39945
OH
Other
Enumeration date
06/27/2006
Last updated
08/14/2018
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