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1770329203
JUSTINE CLARK
FARGO, ND
NPI
1770329203
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: ND 200090)
Enumeration Date
2024-07-03
Last Update Date
2024-07-03
Business Address
JUSTINE CLARK
3201 33RD ST S
FARGO, ND 58104-8823
Phone number: 701-365-4488
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Mailing Address
JUSTINE CLARK
2727 14TH ST W
WEST FARGO, ND 58078-8563
Phone number: 701-793-0065
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