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1275742462
CARRIE-ANNE CLARK
FULLERTON, CA
NPI
1275742462
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: CA PA17731)
Enumeration Date
2007-05-22
Last Update Date
2021-10-20
Business Address
CARRIE-ANNE CLARK PA-C
100 E VALENCIA MESA DR SUITE 105
FULLERTON, CA 92835-3813
Phone number: 714-446-5200
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Mailing Address
CARRIE-ANNE CLARK PA-C
100 E VALENCIA MESA DR STE 105
FULLERTON, CA 92835-3816
Phone number:
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