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1093473142
MARTY CLARK
PADUCAH, KY
NPI
1093473142
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 3016751)
Enumeration Date
2021-12-06
Last Update Date
2021-12-06
Business Address
MARTY CLARK APRN
2501 KENTUCKY AVE
PADUCAH, KY 42003-3813
Phone number: 270-575-2598
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Mailing Address
MARTY CLARK APRN
291 KENNETH LN
HICKORY, KY 42051-9558
Phone number: 270-705-4684
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