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1013255611
JACQUELINE MARIE CLARK
BIRMINGHAM, AL
NPI
1013255611
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: AL 1-051962)
Enumeration Date
2013-01-17
Last Update Date
2013-01-17
Business Address
Ms. JACQUELINE MARIE CLARK RN
700 19TH ST S
BIRMINGHAM, AL 35233-1927
Phone number: 205-933-8101
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Mailing Address
Ms. JACQUELINE MARIE CLARK RN
1709 1ST CT W
BIRMINGHAM, AL 35208-5201
Phone number: 205-933-8101
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