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1306956172
TERESA M CLARK
MOOSIC, PA
NPI
1306956172
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: PA TP006932B)
Enumeration Date
2006-08-30
Last Update Date
2010-09-02
Business Address
Mrs. TERESA M CLARK CRNP
340 MONTAGE MOUNTAIN RD
MOOSIC, PA 18507-1782
Phone number: 570-346-3686
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Mailing Address
Mrs. TERESA M CLARK CRNP
340 MONTAGE MOUNTAIN RD
MOOSIC, PA 18507-1782
Phone number: 570-346-3686
Copy
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