MICHELLE RUTH CLARK

PORTLAND, ME
NPI1750805982
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ME  PAN1716)
Enumeration Date2017-07-30
Last Update Date2017-07-30
Business Address
MICHELLE RUTH CLARK PA-C
144 STATE ST
PORTLAND, ME 04101-3776
Phone number: 207-899-5322
Mailing Address
MICHELLE RUTH CLARK PA-C
77 DANFORTH ST APT 2
PORTLAND, ME 04101-3588
Phone number:
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