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Individual

DEANNA C. CLINTON

Active
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Individual

DEANNA C. CLINTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
679157
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
181012304
TX
05
181072303
TX
05
181072305
TX
01
8542UA
BCBS
TX
Enumeration date
02/02/2006
Last updated
03/04/2011
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