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1700482163
LESLIE A CLARK
PORT ORANGE, FL
NPI
1700482163
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL APRN11009779)
Enumeration Date
2020-12-09
Last Update Date
2022-10-03
Business Address
LESLIE A CLARK APRN
1730 DUNLAWTON AVE STE 1
PORT ORANGE, FL 32127-8986
Phone number: 386-320-3299
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Mailing Address
LESLIE A CLARK APRN
1730 DUNLAWTON AVE STE 1
PORT ORANGE, FL 32127-8986
Phone number: 386-320-3299
Copy
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