Provider Information for 1497294763
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CHRISTINE CLAWLEY MA
Sex: Female
NPI: 1497294763
Last Updated: 2019-06-13
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1497294763 | ||||||||
| Enumeration Date | 2017-02-19 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 2740 FIRST STREET, 11 ALAMOSA, CO 81101 United States Phone: 720-316-9256 | Fax: | ||||||||
| Primary Practice Address | 8745 COUNTY ROAD 9 S ALAMOSA, CO 81101 United States Phone: 719-587-4598 | Fax: | ||||||||
| Secondary Practice Address(es) | 210 E SIMPSON ST 2740 FIRST STREET | ||||||||
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