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1962507087
B. CAROL CLARK-KUTSCHER
CARBONDALE, IL
NPI
1962507087
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 209007469)
Enumeration Date
2006-09-13
Last Update Date
2024-11-25
Business Address
B. CAROL CLARK-KUTSCHER ANP
405 W JACKSON ST
CARBONDALE, IL 62901-1462
Phone number: 618-457-3065
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Mailing Address
B. CAROL CLARK-KUTSCHER ANP
PO BOX 3988
CARBONDALE, IL 62902-3988
Phone number: 618-457-5200
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