Individual
CINDY J CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
904 SOUTH ST, LAFAYETTE, IN 47901-1416
(765) 742-2441
(765) 742-2344
Mailing address
PO BOX 4699, LAFAYETTE, IN 47903-4699
(765) 449-2732
(765) 449-1196
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28060584A
IN
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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