VALISA ANN CLARK

ELIZABETHTOWN, KY
NPI1114520749
Former NameVALISA ANN CULVER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: KY  3015341)
Enumeration Date2020-11-17
Last Update Date2020-11-17
Business Address
VALISA ANN CLARK APRN
913 N DIXIE AVE
ELIZABETHTOWN, KY 42701-2503
Phone number: 270-706-5171
Mailing Address
VALISA ANN CLARK APRN
913 N DIXIE AVE
ELIZABETHTOWN, KY 42701-2503
Phone number: 270-706-5171
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