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1568479400
WAYNE S CLARK
YAKIMA, WA
NPI
1568479400
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: WA AP30002529)
Enumeration Date
2006-08-02
Last Update Date
2010-07-22
Business Address
Mr. WAYNE S CLARK ARNP
1460 N 16TH AVE SUITE D
YAKIMA, WA 98902-7102
Phone number: 509-574-3800
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Mailing Address
Mr. WAYNE S CLARK ARNP
PO BOX 9787
YAKIMA, WA 98909-0787
Phone number: 509-574-3353
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