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1598277022
CRYSTAL CLARK
BRONX, NY
NPI
1598277022
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 736283-1)
Enumeration Date
2017-10-24
Last Update Date
2017-10-24
Business Address
CRYSTAL CLARK
130 W KINGSBRIDGE RD
BRONX, NY 10468-3904
Phone number: 914-582-3086
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Mailing Address
CRYSTAL CLARK
PO BOX 546
CROMPOND, NY 10517-0546
Phone number: 914-582-3086
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