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1962885145
ELISE N. CLARK
DALLAS, TX
NPI
1962885145
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Former Name
ELISE N. LEWIS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP128458)
Enumeration Date
2015-07-07
Last Update Date
2024-10-21
Business Address
ELISE N. CLARK FNP
5473 BLAIR RD STE 100
DALLAS, TX 75231-4227
Phone number: 972-850-0687
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Mailing Address
ELISE N. CLARK FNP
5473 BLAIR RD STE 100
DALLAS, TX 75231-4227
Phone number: 972-850-0687
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