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MR. WILLIAM CLABAUGH

>> Case Manager/Care Coordinator >> Other Service Providers

Registrant NPI Number: 1437528833

Individual Registrant:
MR. WILLIAM  CLABAUGH 
Gender: M
Sole Proprietor

Location and contact information for practice:
830 S. AZUSA AVE. 45 AZUSA, CA 91702 US
Tel: 626-343-4159  Fax: --

Contact information for business:
830 S AZUSA AVE 45 AZUSA, CA 91702-5502 US
Tel: 626-343-1459  Fax: --

Registration Information:
NPI: 1437528833
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y171M00000XOther Service Providers
Case Manager/Care Coordinator

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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