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1902579238
KELLY CLARK
CINCINNATI, OH
NPI
1902579238
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: OH APRN-CNP.0029273)
Enumeration Date
2021-08-02
Last Update Date
2022-08-17
Business Address
KELLY CLARK APRN-CNP
667 CONVERSE DR
CINCINNATI, OH 45240-3619
Phone number: 513-967-5315
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Mailing Address
KELLY CLARK APRN-CNP
667 CONVERSE DR
CINCINNATI, OH 45240-3619
Phone number: 513-967-5315
Copy
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