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1295457364
ANDREA CLARK
PHOENIX, AZ
NPI
1295457364
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: AZ 264063)
Enumeration Date
2022-09-15
Last Update Date
2024-06-21
Business Address
ANDREA CLARK PNP- PC/AC
1919 E THOMAS RD
PHOENIX, AZ 85016-7710
Phone number: 602-933-1900
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Mailing Address
ANDREA CLARK PNP- PC/AC
2108 E THOMAS RD STE 130
PHOENIX, AZ 85016-0008
Phone number: 602-933-1813
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