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1407528722
MIRANDA CLARK
MILLINGTON, TN
NPI
1407528722
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 29697)
Enumeration Date
2021-10-05
Last Update Date
2023-07-20
Business Address
MIRANDA CLARK FNP
4772 NAVY RD STE A
MILLINGTON, TN 38053-1927
Phone number: 901-873-0930
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Mailing Address
MIRANDA CLARK FNP
3243 CYPRESS RD
MEMPHIS, TN 38128-6103
Phone number:
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