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1437765179
NICOLE MARIE CLARK
VENICE, FL
NPI
1437765179
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL APRN11009215)
Enumeration Date
2020-09-18
Last Update Date
2020-12-22
Business Address
NICOLE MARIE CLARK APRN
600 NOKOMIS AVE S STE 102&203
VENICE, FL 34285-3209
Phone number: 941-486-6979
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Mailing Address
NICOLE MARIE CLARK APRN
PO BOX 11393
BELFAST, ME 04915-4004
Phone number:
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