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1326390592
JEAN Y CLARK
BRISTOL, TN
NPI
1326390592
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TN 16941)
Enumeration Date
2012-10-11
Last Update Date
2024-02-27
Business Address
JEAN Y CLARK NP
1 MEDICAL PARK BLVD
BRISTOL, TN 37620-7430
Phone number: 423-844-1121
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Mailing Address
JEAN Y CLARK NP
1021 W OAKLAND AVE STE 310
JOHNSON CITY, TN 37604-2192
Phone number: 423-302-6565
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