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1851668602
KRISTEN M CLARK
PROVIDENCE, RI
NPI
1851668602
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0222X Nurse Practitioner, Pediatrics, Critical Care
(Licence: RI NPP37652)
Enumeration Date
2011-11-22
Last Update Date
2011-11-22
Business Address
-- KRISTEN M CLARK NP
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-444-4201
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Mailing Address
-- KRISTEN M CLARK NP
593 EDDY ST HASBRO 122
PROVIDENCE, RI 02903-4923
Phone number: 401-444-4201
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