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1669804886
CHARLENE M CLARK
BRENTWOOD, NY
NPI
1669804886
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 289760)
Enumeration Date
2013-07-31
Last Update Date
2013-07-31
Business Address
-- CHARLENE M CLARK Lpn
27 HEYWARD ST
BRENTWOOD, NY 11717-1909
Phone number: 631-273-1439
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Mailing Address
-- CHARLENE M CLARK Lpn
27 HEYWARD ST
BRENTWOOD, NY 11717-1909
Phone number: 631-273-1439
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