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Individual

CHARLENE G CLAWSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3955 HARRISON BLVD, L-1, OGDEN, UT 84403-2313
(801) 621-1701
(801) 393-9411
Mailing address
3955 HARRISON BLVD, L-1, OGDEN, UT 84403-2313
(801) 621-1701
(801) 393-9411

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
174248-1205
UT

Other

Enumeration date
10/01/2006
Last updated
07/08/2007
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