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NPI Code Detail

MEDICARE: SHERILYN MARIE MCCLURKAN

MEDICARE: SHERILYN MARIE MCCLURKAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1639297286
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHERILYN MARIE MCCLURKAN
Provider Business Mailing Address
First Line : 12400 CYPRESS AVE
Second Line : SP. 14
City : CHINO
State : CA
Zip : 91710-2811
Country : US
Telephone Number : 909-590-4646
Fax Number :
Provider Business Practice Location Address
First Line : 555 E OCEAN BLVD STE 300
Second Line :
City : LONG BEACH
State : CA
Zip : 90802-5052
Country : US
Telephone Number : 562-432-1222
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2007
Last Update Date : 11/02/2021

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Directions to “ SHERILYN MARIE MCCLURKAN ” Practice Location

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