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1871729889
MYRLITA SHAWN CLARK
PHILADELPHIA, PA
NPI
1871729889
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: PA SPO10333)
Enumeration Date
2009-06-04
Last Update Date
2016-04-19
Business Address
Ms. MYRLITA SHAWN CLARK NP,C
1999 W HUNTING PARK AVE
PHILADELPHIA, PA 19140-2828
Phone number: 215-228-9300
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Mailing Address
Ms. MYRLITA SHAWN CLARK NP,C
432 N 6TH ST
PHILADELPHIA, PA 19123-4004
Phone number: 215-925-2400
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