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1962885145
ELISE N. CLARK
IRVING, 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
2021-07-01
Business Address
ELISE N. CLARK FNP
440 W LBJ FWY STE 455
IRVING, TX 75063-3768
Phone number: 972-589-1677
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Mailing Address
ELISE N. CLARK FNP
440 W LBJ FWY STE 455
IRVING, TX 75063-3768
Phone number: 972-589-1677
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