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1588237663
THOMAS MARTIN CLARK
FORT BELVOIR, VA
NPI
1588237663
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: NY 725069)
Enumeration Date
2021-07-19
Last Update Date
2023-02-01
Business Address
Mr. THOMAS MARTIN CLARK CRNA
9300 DEWITT LOOP
FORT BELVOIR, VA 22060-5285
Phone number: 571-231-3224
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Mailing Address
Mr. THOMAS MARTIN CLARK CRNA
807 CHURCH ST
ALEXANDRIA, VA 22314-4203
Phone number: 516-754-8855
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