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1790057222
AMY K CLARK
LONGVIEW, TX
NPI
1790057222
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: LA RN063977)
Enumeration Date
2012-01-30
Last Update Date
2012-01-30
Business Address
-- AMY K CLARK CRNA
6580 JUDSON RD
LONGVIEW, TX 75605-7076
Phone number: 800-939-7440
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Mailing Address
-- AMY K CLARK CRNA
6580 JUDSON RD
LONGVIEW, TX 75605-7076
Phone number:
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