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1588981575
COLEEN CLARK
BUFFALO, NY
NPI
1588981575
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY 304179)
Enumeration Date
2010-04-29
Last Update Date
2019-01-09
Business Address
COLEEN CLARK ANP
656 ELMWOOD AVE
BUFFALO, NY 14222-1836
Phone number: 716-883-0515
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Mailing Address
COLEEN CLARK ANP
179 MONTBLEU DR
GETZVILLE, NY 14068-1330
Phone number: 716-697-2213
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