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1285322016
ANTONIA MALIA CLARK
SAN DIEGO, CA
NPI
1285322016
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WC1500X Registered Nurse, Community Health
(Licence: CA 95191828)
Enumeration Date
2023-04-28
Last Update Date
2023-04-28
Business Address
ANTONIA MALIA CLARK
7901 FROST ST
SAN DIEGO, CA 92123-2701
Phone number: 858-939-3400
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Mailing Address
ANTONIA MALIA CLARK
285 MANZANITA DR
OCEANSIDE, CA 92057-5405
Phone number: 619-621-9545
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