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Individual

MICHELLE DENISE CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
3245 HOSPITAL DR, JUNEAU, AK 99801-7809
(907) 463-4040
(907) 463-6660
Mailing address
3245 HOSPITAL DR, JUNEAU, AK 99801-7809
(907) 463-4040
(907) 463-6660

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
34075
AK

Other

Enumeration date
05/08/2012
Last updated
05/08/2012
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