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1700938982
LESLIE CORCORAN CLARK
BOSTON, MA
NPI
1700938982
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: MA 154837)
Enumeration Date
2007-01-17
Last Update Date
2007-07-08
Business Address
Ms. LESLIE CORCORAN CLARK NP
55 FRUIT ST ELLISON 11
BOSTON, MA 02114-2621
Phone number: 617-724-5110
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Mailing Address
Ms. LESLIE CORCORAN CLARK NP
55 FRUIT STREET MGH ELLISON 11
BOSTON, MA 02114
Phone number: 617-724-5110
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