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Individual

DR. CLED T CLICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
315 N 3RD AVE, CLAYTON, NM 88415-3300
(575) 374-2533
(575) 374-2533
Mailing address
315 N 3RD AVE, CLAYTON, NM 88415-3300
(575) 374-2533
(575) 374-2533

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
1942
TX
152W00000X
Optometrist
Primary
198
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0196032-02
TX
05
94851069
NM
01
P00336378
RAILROAD MEDICARE
NM
Enumeration date
08/14/2006
Last updated
01/18/2024
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