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1780682138
JUDITH CR CLARK
FARMINGTON HILLS, MI
NPI
1780682138
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MI 4704171391)
Enumeration Date
2005-07-11
Last Update Date
2022-06-20
Business Address
JUDITH CR CLARK NP
32605 W 12 MILE RD STE 195
FARMINGTON HILLS, MI 48334-3390
Phone number: 313-306-2023
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Mailing Address
JUDITH CR CLARK NP
3621 S STATE ST 700 KMS PLACE
ANN ARBOR, MI 48108
Phone number: 734-936-2047
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