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Alexandra L Hambly-Clark

Student in an Organized Health Care Education/Training Program in Canton, MO. Individual provider (NPI-1).

NPI number1497565360
StatusActive
Last updated in NPPESJan 13, 2025

Details

NPI
1497565360
Entity type
Individual (NPI-1)
Name
Alexandra L Hambly-Clark
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 13, 2025
Certification date
Jan 12, 2025
Last updated
Jan 13, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

409 S 4th St
Canton, MO 63435-1647

Phone 660-229-1204

Mailing address

409 S 4th St
Canton, MO 63435-1647

Phone 660-229-1204

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Other Student in an Organized Health Care Education/Training Program providers in Canton, MO

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