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William Clemmer

NPI 1396190781 · on the registry since 2016 · sole proprietor

Practice

Address
73 Avenue Lyn Lusi
Quartier Des Volcans
Goma, CO 243

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Licence states on file
ME
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-05-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado