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1508899170
BONNIE CLARK
ALBUQUERQUE, NM
NPI
1508899170
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NM 79-PA004)
Enumeration Date
2006-07-08
Last Update Date
2008-12-18
Business Address
-- BONNIE CLARK PA C
5400 GIBSON BLVD SE
ALBUQUERQUE, NM 87108-4729
Phone number: 505-262-7026
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Mailing Address
-- BONNIE CLARK PA C
5400 GIBSON BLVD SE
ALBUQUERQUE, NM 87108-4729
Phone number: 505-262-7026
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