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1477816601
DESRA KAY CLARK
COCOA, FL
NPI
1477816601
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Former Name
DESRA KAY KIELY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207QA0505X Family Medicine, Adult Medicine
(Licence: FL OS12364)
Enumeration Date
2012-06-22
Last Update Date
2022-07-21
Business Address
Dr. DESRA KAY CLARK D.O.
7227 N US HIGHWAY 1
COCOA, FL 32927-5020
Phone number: 321-877-2740
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Mailing Address
Dr. DESRA KAY CLARK D.O.
PO BOX 1137
MELBOURNE, FL 32902-1137
Phone number: 321-952-9696
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