ELISE DIANE CLARK

LIMA, OH
NPI1184619595
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: OH  NP06689)
Enumeration Date2005-09-13
Last Update Date2021-03-29
Business Address
Mrs. ELISE DIANE CLARK FNP BC
2875 W ELM ST
LIMA, OH 45805-2510
Phone number: 419-991-7805
Mailing Address
Mrs. ELISE DIANE CLARK FNP BC
2875 W ELM ST
LIMA, OH 45805-2510
Phone number: 419-991-7805
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