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Individual

DR. GABRIELLE SHARON CLARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
10555 LAKE FOREST BLVD STE 3A-B, NEW ORLEANS, LA 70127-5206
(504) 475-3338
Mailing address
10555 LAKE FOREST BLVD STE 3A, NEW ORLEANS, LA 70127-5206
(504) 475-3338

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
311653
LA
213ES0103X
Foot & Ankle Surgery Podiatrist
SC006698
PA

Other

Enumeration date
05/24/2016
Last updated
06/23/2022
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