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1124189196
HEIDI CLARK
WASHINGTON, DC
NPI
1124189196
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: DC RN960959)
Enumeration Date
2006-12-13
Last Update Date
2012-10-09
Business Address
-- HEIDI CLARK CPNP
111 MICHIGAN AVE NW
WASHINGTON, DC 20010-2916
Phone number: 202-476-5000
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Mailing Address
-- HEIDI CLARK CPNP
8106 CHESTER ST
TAKOMA PARK, MD 20912-7339
Phone number: 301-275-5355
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