Provider Information for 1912489733
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CHRISTOPHER CLINTON
Sex: Male
NPI: 1912489733
Last Updated: 2018-08-29
Certification Date:
Certification Date:
Details
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NPI | 1912489733 | ||||||||
Enumeration Date | 2018-08-29 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
Mailing Address | 6660 COUNTY ROAD 37 SPRINGWATER, NY 14560-9630 United States Phone: 315-530-7026 | Fax: | ||||||||
Primary Practice Address | 235 NORTH AVE PENN YAN, NY 14527-1051 United States Phone: 315-530-7026 | Fax: | ||||||||
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