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1578790176
ANITA CLARK
DAPHNE, AL
NPI
1578790176
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: AL 1-020410)
Enumeration Date
2009-06-22
Last Update Date
2009-06-22
Business Address
-- ANITA CLARK RN
1203 US HIGHWAY 98 SUITE 2A
DAPHNE, AL 36526-4277
Phone number: 251-621-9167
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Mailing Address
-- ANITA CLARK RN
2868 ACTON RD
BIRMINGHAM, AL 35243-2502
Phone number: 205-968-8360
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