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Individual

CLARENCINE HAWKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2900 BELMAR DR, YOUNGSTOWN, OH 44505-2108
(330) 795-5248
Mailing address
2900 BELMAR DR, YOUNGSTOWN, OH 44505-2108
(330) 795-5248

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
UT133974
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
UT133974
DRIVER'S LICENSE
OH
Enumeration date
07/13/2022
Last updated
07/13/2022
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