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1083774582
KATHLEEN MARIE CLARK
LONG BEACH, CA
NPI
1083774582
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 16395)
Enumeration Date
2006-12-12
Last Update Date
2007-07-08
Business Address
Ms. KATHLEEN MARIE CLARK MSN FNP C
1250 BELLFLOWER BLVD SHS
LONG BEACH, CA 90840-0201
Phone number: 562-985-5146
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Mailing Address
Ms. KATHLEEN MARIE CLARK MSN FNP C
3247 CHATWIN AVE SHS
LONG BEACH, CA 90808
Phone number: 562-354-6083
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