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1568061950
KECIA CLARK
BATON ROUGE, LA
NPI
1568061950
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA 215920)
Enumeration Date
2020-10-19
Last Update Date
2022-08-24
Business Address
KECIA CLARK FNP
1818 S SHERWOOD FOREST BLVD
BATON ROUGE, LA 70816-8321
Phone number: 337-368-8485
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Mailing Address
KECIA CLARK FNP
6544 OAK GARDEN DR
BATON ROUGE, LA 70817-5806
Phone number: 337-368-8485
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