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1881226462
MICHELLE W CLARK
NEW YORK, NY
NPI
1881226462
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 024688)
Enumeration Date
2020-02-11
Last Update Date
2020-02-11
Business Address
MICHELLE W CLARK Physician Assistant
1275 YORK AVE
NEW YORK, NY 10065-6007
Phone number: 212-639-2000
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Mailing Address
MICHELLE W CLARK Physician Assistant
773 SHADYLAWN DR
AMHERST, OH 44001-1542
Phone number: 440-988-4605
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