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Individual

MICHAEL AUSTIN CLEMONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
801 W JOE HARVEY BLVD, HOBBS, NM 88240-0815
(575) 392-0053
Mailing address
1241 S SAN JOSE DR, ABILENE, TX 79605-3619
(325) 518-2449

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
51399
TX

Other

Enumeration date
07/09/2012
Last updated
07/09/2012
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