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Individual

CLINTON JOSEPH BORN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP, RN, PHRN, EMT-P

Contact information

Practice address
45930 DAVIANA WAY, TEMECULA, CA 92592-4170
(815) 275-2488
Mailing address
83 SANDRA CT, PORTERVILLE, CA 93257-1690

Taxonomy

Speciality
Code
Description
License number
State
146L00000X
Paramedic
P31593
CA
163W00000X
Registered Nurse
800956
CA
363L00000X
Nurse Practitioner
Primary
800956
CA
363L00000X
Nurse Practitioner
95020099
CA

Other

Enumeration date
03/04/2016
Last updated
03/17/2026
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