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1386837912
SAMUELA CLARK
PHOENIX, AZ
NPI
1386837912
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA VN192674)
Enumeration Date
2007-08-27
Last Update Date
2007-08-27
Business Address
-- SAMUELA CLARK LVN
6306 N 7TH ST
PHOENIX, AZ 85014-1549
Phone number: 602-279-5801
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Mailing Address
-- SAMUELA CLARK LVN
6306 N 7TH ST
PHOENIX, AZ 85014-1549
Phone number: 602-279-5801
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