DENNIS WAYNE CLARK

LAKE CHARLES, LA
NPI1710914486
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: AL  1-097193)
Enumeration Date2006-06-27
Last Update Date2010-08-16
Business Address
-- DENNIS WAYNE CLARK CRNA
1757 IMPERIAL BLVD.
LAKE CHARLES, LA 70605
Phone number: 337-310-2832
Mailing Address
-- DENNIS WAYNE CLARK CRNA
13523 BARRETT PARKWAY DRIVE SUITE 104
BALLWIN, MO 63021-3802
Phone number: 636-936-6868
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