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1174923304
HEATHER CLARK-WISE
WESTLAKE, OH
NPI
1174923304
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: OH COA.16169-NP)
Enumeration Date
2014-08-25
Last Update Date
2014-08-25
Business Address
-- HEATHER CLARK-WISE CNP
25200 CENTER RIDGE RD SUITE 2600
WESTLAKE, OH 44145-4141
Phone number: 440-331-5488
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Mailing Address
-- HEATHER CLARK-WISE CNP
24651 CENTER RIDGE RD SUITE 350
WESTLAKE, OH 44145-5635
Phone number: 440-895-5056
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