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Individual

HOLLY C CLARKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1776 E LANCASTER AVE, PAOLI, PA 19301-1550
(866) 389-2727
Mailing address
150 W 9TH AVE, CONSHOHOCKEN, PA 19428-1406
(610) 608-5701

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP011842
PA

Other

Enumeration date
04/17/2012
Last updated
08/19/2014
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