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Individual

DR. CLARENCE DEAN HARKNESS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
73 PUUHONU PL RM 105, HILO, HI 96720-2060
(808) 961-5700
(808) 961-5799
Mailing address
RR 3 BOX 1350, PAHOA, HI 96778-7521
(808) 961-5700
(808) 961-5799

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO170
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000252197
HMSA
HI
05
56938701
HI
Enumeration date
01/12/2007
Last updated
10/04/2012
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