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1922840495
PEYTON LAIN CLARK
MEMPHIS, TN
NPI
1922840495
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: TN 5890)
Enumeration Date
2024-06-06
Last Update Date
2024-06-06
Business Address
Ms. PEYTON LAIN CLARK PA-C
848 ADAMS AVE
MEMPHIS, TN 38103-2816
Phone number: 901-287-5437
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Mailing Address
Ms. PEYTON LAIN CLARK PA-C
8571 HEIRLOOM BLVD APT SUITE
COLLEGE GROVE, TN 37046-1439
Phone number: 262-617-5360
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