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Individual

MS. JULIE CLARE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
F.N.P.

Contact information

Practice address
4500 STUART STREET, MONCRIEF ARMY HOSITAL ATTN: MCXL-PQ (CREDENTIALS), FORT JACKSON, SC 29207-5720
(803) 751-2618
(803) 751-2689
Mailing address
4500 STUART STREET, MONCRIEF ARMY HOSITAL ATTN: MCXL-PQ (CREDENTIALS), FORT JACKSON, SC 29207-5720
(803) 751-2618
(803) 751-2689

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
88008-030
SC

Other

Enumeration date
09/20/2006
Last updated
07/09/2007
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