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1811938079
STEPHANIE ANN CLARK
TAMPA, FL
NPI
1811938079
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: FL ND3876)
Enumeration Date
2006-06-09
Last Update Date
2007-07-08
Business Address
MRS. STEPHANIE ANN CLARK RD, LD/N
13000 BRUCE B DOWNS BLVD
TAMPA, FL 33612-4745
Phone number: 813-972-2000
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Mailing Address
MRS. STEPHANIE ANN CLARK RD, LD/N
6010 TOWER RD
LAND O LAKES, FL 34638-3134
Phone number: 813-972-2000
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