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1568475523
MARIEL CLARK
PHILADELPHIA, PA
NPI
1568475523
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: PA MA000134L)
Enumeration Date
2006-08-14
Last Update Date
2007-07-08
Business Address
Prof. MARIEL CLARK P.A.,C.
9501 ROOSEVELT BLVD SUITE 410
PHILADELPHIA, PA 19114-1025
Phone number: 215-969-4917
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Mailing Address
Prof. MARIEL CLARK P.A.,C.
9501 ROOSEVELT BLVD SUITE 410
PHILADELPHIA, PA 19114-1025
Phone number: 215-969-4917
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