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1740728690
LEILA CLARK
LA FAYETTE, GA
NPI
1740728690
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA 60018)
Enumeration Date
2017-02-10
Last Update Date
2023-08-23
Business Address
LEILA CLARK NP
106 PEARL DR STE 106
LA FAYETTE, GA 30728-7510
Phone number: 706-670-1001
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Mailing Address
LEILA CLARK NP
601 S HARBOUR ISLAND BLVD STE 200
TAMPA, FL 33602-5925
Phone number: 800-480-5243
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