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Individual

MRS. ALLISON RAE CLOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.-C

Contact information

Practice address
940 N MARR RD, SUITE C, COLUMBUS, IN 47201-2610
(812) 376-9353
(812) 376-3757
Mailing address
940 N MARR RD, SUITE C, COLUMBUS, IN 47201-2610
(812) 376-9353
(812) 376-3757

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
99027733A
IN

Other

Enumeration date
05/09/2007
Last updated
01/04/2010
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