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1215488168
MICHELLE ALLISON CLARK
STAMFORD, CT
NPI
1215488168
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 340960)
Enumeration Date
2016-10-16
Last Update Date
2016-10-16
Business Address
Mrs. MICHELLE ALLISON CLARK F.N.P.
413 GLENBROOK RD 9
STAMFORD, CT 06906-2126
Phone number: 973-518-1601
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Mailing Address
Mrs. MICHELLE ALLISON CLARK F.N.P.
413 GLENBROOK RD 9
STAMFORD, CT 06906-2126
Phone number: 973-518-1601
Copy
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