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Individual
ALLYSON DANAY CLARK
Active
Individual
ALLYSON DANAY CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-171694
AL
363LP0200X
Pediatric Nurse Practitioner
Primary
1-171694
AL
Other
Enumeration date
11/04/2021
Last updated
04/04/2024
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