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1588616858
LEAH DIANE CLARK
TAMPA, FL
NPI
1588616858
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL ARNP3071812)
Enumeration Date
2006-05-16
Last Update Date
2007-07-08
Business Address
-- LEAH DIANE CLARK ARNP
3010 W AZEELE ST
TAMPA, FL 33609-3139
Phone number: 813-877-2200
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Mailing Address
-- LEAH DIANE CLARK ARNP
14715 TALL TREE DR
LUTZ, FL 33559-3246
Phone number: 813-877-2200
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