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1982836896
TRACY S CLARK
SAN ANTONIO, TX
NPI
1982836896
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA06398)
Enumeration Date
2009-08-12
Last Update Date
2011-08-23
Business Address
Ms. TRACY S CLARK PA
2115 PLEASANTON RD
SAN ANTONIO, TX 78221-1321
Phone number: 210-922-3627
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Mailing Address
Ms. TRACY S CLARK PA
2115 PLEASANTON RD
SAN ANTONIO, TX 78221-1321
Phone number: 210-922-3627
Copy
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