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1700255726
DOMINIQUE CLARK
GREENBELT, MD
NPI
1700255726
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MD C0005875)
Enumeration Date
2015-09-21
Last Update Date
2022-07-21
Business Address
DOMINIQUE CLARK
7474 GREENWAY CENTER DR STE 730
GREENBELT, MD 20770-3523
Phone number: 301-982-3437
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Mailing Address
DOMINIQUE CLARK
7474 GREENWAY CENTER DR STE 700B
GREENBELT, MD 20770-3523
Phone number: 240-277-3359
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