ROBERT D CLARK

LAFAYETTE, LA
NPI1720198922
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: LA  2021)
Enumeration Date2006-08-30
Last Update Date2008-03-28
Business Address
-- ROBERT D CLARK CRNA
611 SAINT LANDRY ST
LAFAYETTE, LA 70506-4627
Phone number: 337-289-2966
Mailing Address
-- ROBERT D CLARK CRNA
PO BOX 53864
LAFAYETTE, LA 70505-3864
Phone number: 337-289-2966
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