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1861024416
HALEY R CLARK
PARK RIDGE, IL
NPI
1861024416
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085-008425)
Enumeration Date
2020-02-11
Last Update Date
2022-08-10
Business Address
HALEY R CLARK
1700 LUTHER LN STE 1170
PARK RIDGE, IL 60068-1270
Phone number: 844-376-3876
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Mailing Address
HALEY R CLARK
1700 LUTHER LN STE 1170
PARK RIDGE, IL 60068-1270
Phone number:
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