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1881761120
STEPHANIE CLARK-POVEDA
FONTANA, CA
NPI
1881761120
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA17035)
Enumeration Date
2006-11-30
Last Update Date
2021-12-01
Business Address
STEPHANIE CLARK-POVEDA PA
9961 SIERRA AVE
FONTANA, CA 92335-6720
Phone number: 909-427-3910
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Mailing Address
STEPHANIE CLARK-POVEDA PA
9961 SIERRA AVE
FONTANA, CA 92335-6720
Phone number: 909-427-3910
Copy
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