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Individual
MS. RACHEL L CLARK
Active
Individual
MS. RACHEL L CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
337544
NY
363LF0000X
Family Nurse Practitioner
Primary
COA.1193-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
COA.11193-NP
CERTIFIED NURSE PRACTITIONER
OH
01
—
RN.355902-COA1
RN
OH
Enumeration date
12/03/2009
Last updated
04/29/2024
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