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1740986629
MARGUERITE LILLIE CLARK
AUSTIN, TX
NPI
1740986629
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LX0001X Nurse Practitioner, Obstetrics & Gynecology
(Licence: TX 1178492)
Enumeration Date
2023-02-02
Last Update Date
2025-01-13
Business Address
Mrs. MARGUERITE LILLIE CLARK NP
12200 RENFERT WAY STE 100
AUSTIN, TX 78758-5654
Phone number: 512-451-8211
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Mailing Address
Mrs. MARGUERITE LILLIE CLARK NP
12200 RENFERT WAY STE 100
AUSTIN, TX 78758-5654
Phone number: 214-784-3185
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