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Individual
LINDA CLARK
Active
Individual
LINDA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-BC
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
NP16640
CA
207Q00000X
Family Medicine Physician
NP16640
CA
363LF0000X
Family Nurse Practitioner
Primary
NP16640
CA
Other
Enumeration date
10/13/2006
Last updated
03/11/2021
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