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1518528868
SCOTT RANDALL CLARK
DALLAS, TX
NPI
1518528868
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP142011)
Enumeration Date
2019-06-27
Last Update Date
2022-07-29
Business Address
SCOTT RANDALL CLARK NP
4500 S LANCASTER RD
DALLAS, TX 75216-7167
Phone number: 214-857-7292
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Mailing Address
SCOTT RANDALL CLARK NP
4500 S LANCASTER RD
DALLAS, TX 75216-7167
Phone number: 214-857-7292
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