GAIL A CLARK

FORT WAYNE, IN
NPI1760718258
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: IN  09000192A)
Additional Taxonomies367A00000X Advanced Practice Midwife
(Licence: IN  71003121A)
Enumeration Date2009-10-19
Last Update Date2023-11-21
Business Address
GAIL A CLARK CNM
11123 PARKVIEW PLAZA DR STE 101
FORT WAYNE, IN 46845-1707
Phone number: 260-425-6650
Mailing Address
GAIL A CLARK CNM
250 N SHADELAND AVE
INDIANAPOLIS, IN 46219-4959
Phone number: