NATHAN BLAINE CLARK

MURRAY, KY
NPI1578853883
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: KY  3006900)
Enumeration Date2011-04-08
Last Update Date2022-02-18
Business Address
Mr. NATHAN BLAINE CLARK APRN
400 INDUSTRIAL ROAD SUITE A
MURRAY, KY 42071
Phone number: 270-761-9355
Mailing Address
Mr. NATHAN BLAINE CLARK APRN
2004 MELROSE DR
MURRAY, KY 42071-4700
Phone number: 270-293-0443
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