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1114160199
MELISSA ANN CLARK
SYRACUSE, NY
NPI
1114160199
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 291875)
Enumeration Date
2009-04-07
Last Update Date
2009-04-07
Business Address
Mrs. MELISSA ANN CLARK LPN
113 CHENEY ST
SYRACUSE, NY 13207
Phone number: 315-478-9463
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Mailing Address
Mrs. MELISSA ANN CLARK LPN
113 CHENEY ST
SYRACUSE, NY 13207
Phone number: 315-478-9463
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