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1972711141
SANDRA B CLARK
BATON ROUGE, LA
NPI
1972711141
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: LA RN039057 AP01415)
Enumeration Date
2007-05-19
Last Update Date
2007-07-08
Business Address
-- SANDRA B CLARK CRNA
8212 SUMMA AVE
BATON ROUGE, LA 70809-3421
Phone number: 225-769-4403
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Mailing Address
-- SANDRA B CLARK CRNA
8212 SUMMA AVE
BATON ROUGE, LA 70809-3421
Phone number: 225-769-4403
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