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1548641087
RUSSELL L CLARK
NASHVILLE, TN
NPI
1548641087
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 20179)
Enumeration Date
2015-06-10
Last Update Date
2018-04-26
Business Address
Mr. RUSSELL L CLARK FNP-C
3443 DICKERSON PIKE STE 660
NASHVILLE, TN 37207-2519
Phone number: 615-988-1109
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Mailing Address
Mr. RUSSELL L CLARK FNP-C
3443 DICKERSON PIKE STE 660
NASHVILLE, TN 37207-2519
Phone number: 615-988-1109
Copy
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