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1134841943
CODY ALEXANDER CLARK
GERMANTOWN, TN
NPI
1134841943
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 00000000)
Enumeration Date
2022-09-19
Last Update Date
2022-09-19
Business Address
CODY ALEXANDER CLARK FNP-BC
1400 S GERMANTOWN RD
GERMANTOWN, TN 38138-2205
Phone number: 901-759-3111
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Mailing Address
CODY ALEXANDER CLARK FNP-BC
12155 HIDDEN TRL
ARLINGTON, TN 38002-4577
Phone number: 702-524-8579
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