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1851761027
CALVIN CLARKE
PUYALLUP, WA
NPI
1851761027
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WA AP60498791)
Enumeration Date
2015-10-01
Last Update Date
2020-09-11
Business Address
CALVIN CLARKE
11019 CANYON RD E STE A
PUYALLUP, WA 98373-3001
Phone number: 253-537-0293
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Mailing Address
CALVIN CLARKE
PO BOX 5127
EVERETT, WA 98206-5127
Phone number: 253-537-0293
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