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Individual
MELISSA CLARK
Active
Individual
MELISSA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A102119
CA
Other
Enumeration date
11/05/2007
Last updated
12/13/2011
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