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1083039085
STEPHEN CLARK
PHILADELPHIA, PA
NPI
1083039085
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
364SF0001X Clinical Nurse Specialist, Family Health
(Licence: PA SP013599)
Enumeration Date
2014-02-27
Last Update Date
2014-02-27
Business Address
-- STEPHEN CLARK Nurse Practitioner
1013 E HAINES ST
PHILADELPHIA, PA 19138-1533
Phone number: 215-438-1095
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Mailing Address
-- STEPHEN CLARK Nurse Practitioner
1013 E HAINES ST
PHILADELPHIA, PA 19138-1533
Phone number: 215-438-1095
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