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1063862167
LAURA CLARK
BALTIMORE, MD
NPI
1063862167
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MD C0001473)
Enumeration Date
2016-06-20
Last Update Date
2016-06-20
Business Address
-- LAURA CLARK
1800 ORLEANS ST
BALTIMORE, MD 21287-0010
Phone number: 410-537-0752
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Mailing Address
-- LAURA CLARK
526 E 39TH ST
BALTIMORE, MD 21218-1901
Phone number: 410-433-8053
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