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1285081299
TARA MARIA CLARK
PORTERVILLE, CA
NPI
1285081299
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA A44838)
Enumeration Date
2016-05-19
Last Update Date
2019-07-02
Business Address
TARA MARIA CLARK FNP
380 N RESERVATION RD
PORTERVILLE, CA 93257-9673
Phone number: 559-784-2316
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Mailing Address
TARA MARIA CLARK FNP
33463 GLOBE DR
SPRINGVILLE, CA 93265-9719
Phone number: 559-539-5788
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