Individual
SHERILYN K CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
110 S. 2ND ST., ELLINGTON, MO 63638
(573) 663-2313
(573) 663-2441
Mailing address
108 PINE LANE, VAN BUREN, MO 63965
(573) 323-8264
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
054701
MO
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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