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1144396235
AMIE S CLARK
SALT LAKE CITY, UT
NPI
1144396235
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: UT 5125361-4405)
Enumeration Date
2006-11-28
Last Update Date
2007-07-08
Business Address
Ms. AMIE S CLARK A.P.R.N.
50 N MEDICAL DR
SALT LAKE CITY, UT 84132-0001
Phone number: 801-581-2121
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Mailing Address
Ms. AMIE S CLARK A.P.R.N.
PO BOX 581700
SALT LAKE CITY, UT 84158-1700
Phone number: 801-213-3800
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