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1053867853
ELIZABETH CLARK
APPLETON, WI
NPI
1053867853
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2016-08-31
Last Update Date
2022-03-21
Business Address
ELIZABETH CLARK MSc, PA
1818 N MEADE ST
APPLETON, WI 54911-3454
Phone number: 920-731-4101
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Mailing Address
ELIZABETH CLARK MSc, PA
1818 N MEADE ST
APPLETON, WI 54911-3454
Phone number: 507-450-6906
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