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1871259028
TARA L CLARK
ASHLAND, KY
NPI
1871259028
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: KY 3016776)
Enumeration Date
2021-11-11
Last Update Date
2023-01-04
Business Address
TARA L CLARK
2201 LEXINGTON AVE
ASHLAND, KY 41101-2843
Phone number: 606-408-4000
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Mailing Address
TARA L CLARK
PO BOX 2379
ASHLAND, KY 41105-2379
Phone number:
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