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Individual

SHERMAN CLAGG

Active
Sole proprietor

Provider details

NPI number
Gender
Man

Contact information

Practice address
1060 GAFFNEY RD #7440, COMMANDER, USA-MEDDAC-AK, ATTN:MCUC-MMD-Q, FT WAINWRIGHT, AK 99703-7440
(907) 353-5418
(907) 353-4845
Mailing address
1060 GAFFNEY RD #7440, COMMANDER, USA-MEDDAC-AK, ATTN:MCUC-MMD-Q, FT WAINWRIGHT, AK 99703-7440

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
619561
TX

Other

Enumeration date
12/20/2005
Last updated
07/08/2007
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