Individual
MARA M CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NPC
Contact information
Practice address
515 VALLEY VIEW DR, SUITE 103, MOLINE, IL 61265-6175
(309) 757-1252
Mailing address
515 VALLEY VIEW DR, SUITE 103, MOLINE, IL 61265-6175
(309) 757-1252
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
IL
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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