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1376166579
CANDACE ANN CLARK
MILWAUKEE, WI
NPI
1376166579
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 5185)
Enumeration Date
2020-05-21
Last Update Date
2022-04-22
Business Address
CANDACE ANN CLARK PA
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226-3522
Phone number: 414-805-8710
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Mailing Address
CANDACE ANN CLARK PA
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226-3522
Phone number: 414-805-8710
Copy
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