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1720624166
KIMBERLY NICOLE CLARK
ELGIN, IL
NPI
1720624166
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085.007399)
Enumeration Date
2019-11-20
Last Update Date
2021-12-16
Business Address
KIMBERLY NICOLE CLARK MMS, PA-C
1600 N RANDALL RD STE 400
ELGIN, IL 60123-7805
Phone number: 847-381-8899
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Mailing Address
KIMBERLY NICOLE CLARK MMS, PA-C
0N331 ETHEL ST
WINFIELD, IL 60190-1051
Phone number: 630-890-2775
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