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1851361026
MICHAEL EUGENE CLARK
PENSACOLA, FL
NPI
1851361026
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: FL 2695852)
Enumeration Date
2006-01-23
Last Update Date
2007-07-08
Business Address
MR. MICHAEL EUGENE CLARK CRNA
NAVAL HOSPITAL PENSACOLA 6000 WEST HWY 98
PENSACOLA, FL 32512-0003
Phone number: 850-505-6762
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Mailing Address
MR. MICHAEL EUGENE CLARK CRNA
309 NW SYRCLE DR
PENSACOLA, FL 32507-3223
Phone number: 850-453-8976
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