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1750624904
TERESA LOUISE CLARK
LONG BEACH, CA
NPI
1750624904
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Professional Name
TERESA LOUISE CLARK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 258115)
Enumeration Date
2013-04-05
Last Update Date
2013-04-23
Business Address
-- TERESA LOUISE CLARK LVN
2121 E 1ST ST 306
LONG BEACH, CA 90803-2418
Phone number: 661-675-5177
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Mailing Address
-- TERESA LOUISE CLARK LVN
2121 EAST FIRST STREET #306 306
LONG BEACH, CA 93551
Phone number: 661-675-5177
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