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1700067634
VIVETTE CLARKE
PORT ST LUCIE, FL
NPI
1700067634
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: FL PN 979531)
Enumeration Date
2007-11-20
Last Update Date
2007-11-20
Business Address
-- VIVETTE CLARKE
1591 SW SILVER LN
PORT ST LUCIE, FL 34953-4116
Phone number: 772-336-4729
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Mailing Address
-- VIVETTE CLARKE
1591 SW SILVER LN
PORT ST LUCIE, FL 34953-4116
Phone number:
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