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Individual

MRS. ELIZABETH MCCLURE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PPCNPC

Contact information

Practice address
157 E LAWN AVE, SAINT CLAIRSVILLE, OH 43950-9155
(740) 695-4026
(740) 695-4025
Mailing address
157 E LAWN AVE, SAINT CLAIRSVILLE, OH 43950-9155
(740) 695-4026
(740) 695-4025

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
06505RX
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2290962
OH
Enumeration date
12/29/2006
Last updated
07/08/2007
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