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1629802772
ANNIE CLARK
MEMPHIS, TN
NPI
1629802772
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 36624)
Enumeration Date
2024-08-30
Last Update Date
2024-08-30
Business Address
ANNIE CLARK
306 WILKINSON PL
MEMPHIS, TN 38111-6126
Phone number: 901-647-6713
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Mailing Address
ANNIE CLARK
306 WILKINSON PL
MEMPHIS, TN 38111-6126
Phone number:
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