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Individual

MRS. KATIE A MCCLOUD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2470 PATTERSON RD STE 8, GRAND JUNCTION, CO 81505-1028
(702) 456-9119
Mailing address
2470 PATTERSON RD STE 8, GRAND JUNCTION, CO 81505-1028
(970) 245-6911

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25462120000
CO
207Q00000X
Family Medicine Physician
9111168
FL
2084P0800X
Psychiatry Physician
9111168
FL

Other

Enumeration date
03/16/2018
Last updated
12/13/2024
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