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1124520986
TARA CLARK
OWENSBORO, KY
NPI
1124520986
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 3011436)
Enumeration Date
2018-03-07
Last Update Date
2018-03-07
Business Address
TARA CLARK
2200 E PARRISH AVE BLDG D SUITE 100
OWENSBORO, KY 42303
Phone number: 270-688-1770
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Mailing Address
TARA CLARK
2200 E PARRISH AVE BLDG D SUITE 100
OWENSBORO, KY 42303
Phone number: 270-688-1770
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