Individual
MARIANNE CLEGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7704 FOURTH, WELLINGTON, CO 80549
(907) 619-9150
Mailing address
PO BOX 1617, WELLINGTON, CO 80549-8003
(907) 619-9150
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
7154
AK
Other
Enumeration date
10/10/2014
Last updated
10/10/2014
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