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1255733135
CLARK HARDGRAVE
ALBUQUERQUE, NM
NPI
1255733135
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NM PA2014-0067)
Enumeration Date
2014-09-22
Last Update Date
2023-07-11
Business Address
CLARK HARDGRAVE PA-C
5608 ZUNI RD SE
ALBUQUERQUE, NM 87108-2926
Phone number: 505-262-2481
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Mailing Address
CLARK HARDGRAVE PA-C
417 15TH ST SW
ALBUQUERQUE, NM 87104-1062
Phone number:
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