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1255321386
HEIDI MARIE CLARK
TUNKHANNOCK, PA
NPI
1255321386
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: PA OS012488)
Enumeration Date
2005-10-28
Last Update Date
2020-08-13
Business Address
DR. HEIDI MARIE CLARK D.O.
10 TRIEBLE DR
TUNKHANNOCK, PA 18657-7054
Phone number: 570-996-2700
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Mailing Address
DR. HEIDI MARIE CLARK D.O.
100 N ACADEMY AVE CREDENTIALS DEPT
DANVILLE, PA 17822-4903
Phone number: 570-271-6144
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