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1407860166
MELISSA D. CLARK
TAMPA, FL
NPI
1407860166
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9102703)
Enumeration Date
2006-07-28
Last Update Date
2015-02-16
Business Address
-- MELISSA D. CLARK PA C
909 N DALE MABRY HWY
TAMPA, FL 33609-1251
Phone number: 813-978-9700
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Mailing Address
-- MELISSA D. CLARK PA C
13020 N TELECOM PKWY
TEMPLE TERRACE, FL 33637-0925
Phone number: 813-978-9700
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