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1861436362
KERRY A CLARK
PROVIDENCE, RI
NPI
1861436362
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: RI APRN00233)
Enumeration Date
2006-06-15
Last Update Date
2022-03-17
Business Address
KERRY A CLARK NP
2 DUDLEY ST STE 200
PROVIDENCE, RI 02905-3236
Phone number: 401-457-1540
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Mailing Address
KERRY A CLARK NP
PO BOX 1119
PROVIDENCE, RI 02901-1119
Phone number: 401-457-1540
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