JARED DALE CLARK

TEXARKANA, AR
NPI1467011239
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: TX  Ap141588)
Enumeration Date2019-06-06
Last Update Date2023-08-28
Business Address
JARED DALE CLARK APN
4077 JEFFERSON AVE
TEXARKANA, AR 71854-1509
Phone number: 870-330-9200
Mailing Address
JARED DALE CLARK APN
PO BOX 1326
MARSHALL, TX 75671-1326
Phone number: 903-927-3782
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