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1356340681
WANDA LU CLARK
AMARILLO, TX
NPI
1356340681
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TX 509539)
Enumeration Date
2005-07-19
Last Update Date
2020-03-24
Business Address
WANDA LU CLARK FNP
3113 ROSS ST
AMARILLO, TX 79103-2700
Phone number: 806-374-7341
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Mailing Address
WANDA LU CLARK FNP
2801 W 8TH ST
PLAINVIEW, TX 79072-6737
Phone number: 806-293-8561
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