Individual
MARGARET CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
601 S DOUGLASS ST, MALDEN, MO 63863-2429
(573) 421-4281
Mailing address
601 S DOUGLASS ST, MALDEN, MO 63863-2429
(573) 421-4281
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2000170835
MO
Other
Enumeration date
08/05/2011
Last updated
08/05/2011
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