MICAH SHEA CLARK

OAK RIDGE, TN
NPI1205902236
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TN  075331)
Enumeration Date2006-11-28
Last Update Date2007-07-08
Business Address
-- MICAH SHEA CLARK
990 OAK RIDGE TPKE
OAK RIDGE, TN 37830-6976
Phone number: 931-858-6303
Mailing Address
-- MICAH SHEA CLARK
PO BOX 5059
OAK RIDGE, TN 37831-5059
Phone number: 770-237-1089
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