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1679082754
TARA BROOKE CLARKE
BOWLING GREEN, KY
NPI
1679082754
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Former Name
TARA BROOKE MATSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 3011723)
Enumeration Date
2017-09-21
Last Update Date
2020-01-27
Business Address
TARA BROOKE CLARKE APRN
225 NATCHEZ TRACE AVE
BOWLING GREEN, KY 42103-7995
Phone number: 270-783-3573
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Mailing Address
TARA BROOKE CLARKE APRN
225 NATCHEZ TRACE AVE
BOWLING GREEN, KY 42103-7995
Phone number: 270-783-3573
Copy
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