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1558478933
RICKETTA CLARK
MEMPHIS, TN
NPI
1558478933
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Former Name
RICKETTA L HARRELL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TN 7029)
Enumeration Date
2006-08-23
Last Update Date
2021-11-09
Business Address
Mrs. RICKETTA CLARK NP
880 MADISON AVE
MEMPHIS, TN 38103-3409
Phone number: 901-490-7929
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Mailing Address
Mrs. RICKETTA CLARK NP
880 MADISON AVE
MEMPHIS, TN 38103-3409
Phone number: 901-490-7929
Copy
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