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1851941991
JESSICA NICOLE CLARK
WATERLOO, IA
NPI
1851941991
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IA A154270)
Enumeration Date
2019-09-19
Last Update Date
2019-09-19
Business Address
JESSICA NICOLE CLARK NP-C
1825 LOGAN AVE
WATERLOO, IA 50703-1916
Phone number: 319-235-3697
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Mailing Address
JESSICA NICOLE CLARK NP-C
924 BERTCH AVE
WATERLOO, IA 50702-3110
Phone number: 319-939-2404
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