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1871018176
DAVITA JACKSON-CLARK
LAS VEGAS, NV
NPI
1871018176
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NV APRN002570)
Enumeration Date
2017-08-08
Last Update Date
2023-12-23
Business Address
DAVITA JACKSON-CLARK FNP
6600 W CHARLESTON BLVD STE 111
LAS VEGAS, NV 89146-1067
Phone number: 702-763-7443
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Mailing Address
DAVITA JACKSON-CLARK FNP
6600 W CHARLESTON BLVD STE 111
LAS VEGAS, NV 89146-1067
Phone number: 702-763-7443
Copy
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