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1891987343
REBECCA S. CLARK
MINDEN, LA
NPI
1891987343
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA AP05233)
Enumeration Date
2007-08-17
Last Update Date
2017-04-10
Business Address
-- REBECCA S. CLARK F.N.P.
10600 INDUSTRIAL DR
MINDEN, LA 71055-5105
Phone number: 318-798-4616
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Mailing Address
-- REBECCA S. CLARK F.N.P.
1455 E BERT KOUN LOOP
SHREVEPORT, LA 71105-5634
Phone number: 318-798-4539
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