CHARLES E CLARK

POMONA, NJ
NPI1285739557
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: NJ  26NR07050200)
Enumeration Date2006-09-13
Last Update Date2007-07-08
Business Address
-- CHARLES E CLARK CRNA
65 JIMMIE LEEDS ROAD
POMONA, NJ 08240
Phone number: 609-652-3444
Mailing Address
-- CHARLES E CLARK CRNA
744 W MICHIGAN AVE
JACKSON, MI 49201-1909
Phone number: 517-787-6440
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