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1225861016
JEANETTE CRISTINE CLARK
FARMINGDALE, NY
NPI
1225861016
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WG0000X Registered Nurse, General Practice
(Licence: NY 861777-01)
Enumeration Date
2024-08-26
Last Update Date
2024-08-26
Business Address
JEANETTE CRISTINE CLARK RN
24 ROBERTS ST
FARMINGDALE, NY 11735-5042
Phone number: 516-293-0051
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Mailing Address
JEANETTE CRISTINE CLARK RN
750 SHORE RD APT 5C
LONG BEACH, NY 11561-4735
Phone number: 732-887-7093
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