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Individual
DANIELLE L. CLARK
Active
Individual
DANIELLE L. CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35130404
OH
207R00000X
Internal Medicine Physician
57.024936
OH
208M00000X
Hospitalist Physician
Primary
35.130404
OH
Other
Enumeration date
03/31/2014
Last updated
07/27/2022
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