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1205494549
JACQUELINE CLARKE
TEMPLE TERRACE, FL
NPI
1205494549
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL APRN11002059)
Enumeration Date
2019-06-02
Last Update Date
2020-01-28
Business Address
Ms. JACQUELINE CLARKE APRN
12470 TELECOM DR STE 100
TEMPLE TERRACE, FL 33637-0904
Phone number: 813-779-6303
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Mailing Address
Ms. JACQUELINE CLARKE APRN
12470 TELECOM DR STE 100
TEMPLE TERRACE, FL 33637-0904
Phone number: 813-779-6303
Copy
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