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Individual

CLINTON W CLAYBAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
2951 S CAMPBELL AVE, SPRINGFIELD, OK 65701
(417) 890-7924
(417) 883-4910
Mailing address
2951 S CAMPBELL AVE, SPRINGFIELD, MO 65807-3632
(417) 890-7924
(417) 883-4910

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
027583
MO

Other

Enumeration date
09/29/2011
Last updated
09/29/2011
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