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Individual

ALISSA LYNN CLAWSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
7950 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4140
(260) 435-7001
Mailing address
10315 DAWSONS CREEK BLVD, FORT WAYNE, IN 46825-1912
(260) 442-3502
(260) 442-3598

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
128763
TN

Other

Enumeration date
12/09/2019
Last updated
12/09/2019
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