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1609382670
ANDREW CLARK
LAKEWOOD, NJ
NPI
1609382670
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NJ 26NJ00783000)
Enumeration Date
2017-12-28
Last Update Date
2017-12-28
Business Address
ANDREW CLARK CRNP
101 2ND ST
LAKEWOOD, NJ 08701-3324
Phone number: 732-363-6656
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Mailing Address
ANDREW CLARK CRNP
101 2ND ST
LAKEWOOD, NJ 08701-3324
Phone number:
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