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Individual
ALEXANDER CLARK
Active
Individual
ALEXANDER CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
841723-01
NY
164W00000X
Licensed Practical Nurse
315947
NY
Other
Enumeration date
07/01/2016
Last updated
07/25/2024
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