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1063561710
DORY CLARK
SAN DIEGO, CA
NPI
1063561710
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Former Name
DORY LEV
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: CA 16260)
Enumeration Date
2007-01-10
Last Update Date
2007-07-08
Business Address
-- DORY CLARK NP
3860 CALLE FORTUNADA STE 200
SAN DIEGO, CA 92123-4800
Phone number: 858-636-4300
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Mailing Address
-- DORY CLARK NP
3860 CALLE FORTUNADA STE 200
SAN DIEGO, CA 92123-4800
Phone number: 858-636-4300
Copy
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