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1952830226
BRENT CLARK
EAGLE RIVER, AK
NPI
1952830226
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: AK 122126)
Enumeration Date
2017-06-08
Last Update Date
2024-01-08
Business Address
BRENT CLARK FNP, NP-C
17101 SNOWMOBILE LN STE 114
EAGLE RIVER, AK 99577-7043
Phone number: 907-562-2211
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Mailing Address
BRENT CLARK FNP, NP-C
2440 E TUDOR RD # 781
ANCHORAGE, AK 99507-1185
Phone number: 907-545-4531
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