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1649952870
NIA CLARKE CRISP
SAN DIEGO, CA
NPI
1649952870
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2023-08-07
Last Update Date
2023-08-07
Business Address
NIA CLARKE CRISP SFIDC
34101 FARENHOLT AVE
SAN DIEGO, CA 92134-7000
Phone number: 210-487-9597
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Mailing Address
NIA CLARKE CRISP SFIDC
1475 ISLAND AVE UNIT 1410
SAN DIEGO, CA 92101-8237
Phone number: 210-487-9597
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