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1194791012
LESLIE COLLIS CLARKE
TAMPA, FL
NPI
1194791012
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: FL 2511202)
Enumeration Date
2006-02-28
Last Update Date
2007-07-08
Business Address
-- LESLIE COLLIS CLARKE arnp
13000 BRUCE B DOWNS BLVD
TAMPA, FL 33612-4745
Phone number: 813-972-2000
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Mailing Address
-- LESLIE COLLIS CLARKE arnp
15619 EASTBOURN DR
ODESSA, FL 33556-2851
Phone number:
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