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1407853880
NELLDA C CLARK
MONTGOMERY, AL
NPI
1407853880
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: AL 1-0473524)
Enumeration Date
2005-06-30
Last Update Date
2011-02-08
Business Address
-- NELLDA C CLARK CRNP
440 TAYLOR RD 3300
MONTGOMERY, AL 36117-3588
Phone number: 334-265-7075
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Mailing Address
-- NELLDA C CLARK CRNP
440 TAYLOR RD 3230
MONTGOMERY, AL 36117-3588
Phone number: 334-265-7075
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