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Individual

MS. KAREN S CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
850 HARRISON AVE, MENINO PAVILLION, BOSTON, MA 02118-4001
(617) 414-4883
(617) 414-6628
Mailing address
12 FISHER AVE, APT # 3, ROXBURY CROSSING, MA 02120-3382
(617) 909-3590

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
5985
MA

Other

Enumeration date
08/08/2006
Last updated
07/08/2007
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