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1326202599
CHRISTINA L CLARK
BRANDON, FL
NPI
1326202599
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9104604)
Enumeration Date
2008-07-16
Last Update Date
2011-08-24
Business Address
CHRISTINA L CLARK PA-C
119 OAKFIELD DR
BRANDON, FL 33511-5779
Phone number: 813-571-5150
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Mailing Address
CHRISTINA L CLARK PA-C
119 OAKFIELD DR
BRANDON, FL 33511-5779
Phone number: 813-571-5150
Copy
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