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1770964991
SUSAN D. CLARK
LIBERTY, TX
NPI
1770964991
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP128323)
Enumeration Date
2015-06-12
Last Update Date
2015-06-12
Business Address
Mrs. SUSAN D. CLARK NP-C
1353 N TRAVIS ST
LIBERTY, TX 77575-3549
Phone number: 936-336-5881
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Mailing Address
Mrs. SUSAN D. CLARK NP-C
1353 N TRAVIS ST
LIBERTY, TX 77575-3549
Phone number: 936-336-5881
Copy
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