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1982249926
JENNIFER RAE CLARK
LEAGUE CITY, TX
NPI
1982249926
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: TX AP142270)
Enumeration Date
2019-11-13
Last Update Date
2019-11-13
Business Address
JENNIFER RAE CLARK CPNP-PC
2800 E LEAGUE CITY PKWY APT 216
LEAGUE CITY, TX 77573-1676
Phone number: 907-350-8538
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Mailing Address
JENNIFER RAE CLARK CPNP-PC
2251 FM 646 RD W STE 155
DICKINSON, TX 77539-3256
Phone number: 907-350-8538
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