Individual
DAWN A CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2172A US ROUTE 127 N, EATON, OH 45320-9289
(937) 456-1915
(937) 456-2208
Mailing address
2172A US ROUTE 127 N, EATON, OH 45320-9289
(937) 456-1915
(937) 456-2208
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN332515
OH
Other
Enumeration date
01/17/2011
Last updated
01/17/2011
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