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1407490246
LAURIE BETH CLARK
INDEPENDENCE, MO
NPI
1407490246
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: MO 2019042366)
Enumeration Date
2019-11-05
Last Update Date
2019-11-05
Business Address
LAURIE BETH CLARK CNP
17009 E CHEYENNE DR
INDEPENDENCE, MO 64056
Phone number: 816-337-2192
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Mailing Address
LAURIE BETH CLARK CNP
17009 E CHEYENNE DR
INDEPENDENCE, MO 64056-1516
Phone number: 816-337-2192
Copy
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