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1184619595
ELISE DIANE CLARK
LIMA, OH
NPI
1184619595
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: OH NP06689)
Enumeration Date
2005-09-13
Last Update Date
2021-03-29
Business Address
Mrs. ELISE DIANE CLARK FNP BC
2875 W ELM ST
LIMA, OH 45805-2510
Phone number: 419-991-7805
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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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